Individual
CRAIG ALAN CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 N LINCOLN AVE, BELOIT, KS 67420-1215
(785) 738-2246
(785) 738-4303
Mailing address
PO BOX 587, BELOIT, KS 67420-0587
(785) 738-2246
(785) 738-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21286
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205410A
—
KS
Enumeration date
03/15/2006
Last updated
03/30/2021
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