Individual
MR. HARVEY R CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
258 CORVIN LN, ELIZABETHTOWN, KY 42701-5771
(270) 317-4827
(270) 234-8558
Mailing address
PO BOX 6292, ELIZABETHTOWN, KY 42702-6292
(270) 317-4827
(270) 234-8558
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA011
KY
Other
Enumeration date
07/14/2006
Last updated
02/07/2008
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