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Individual

DR. KENNETH H CRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 792-8329
(941) 761-0599
Mailing address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
(941) 761-0599

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME64188
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000066300
FL
01
23759
BCBS
FL
01
660002259
RAIL ROAD MEDICARE
FL
Enumeration date
09/14/2005
Last updated
01/20/2022
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