Individual
CRYSTAL CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
6216 NE 120TH ST, KANSAS CITY, MO 64166-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14118232102
KS
163W00000X
Registered Nurse
2009000815
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2015018013
MO
367500000X
Certified Registered Nurse Anesthetist
557338
KS
Other
Enumeration date
05/25/2015
Last updated
06/15/2020
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