IndividualActive
Kenneth Craig, RN
NPI 1609696160 · General Practice Registered Nurse · Phoenix, AZ
Provider details
- NPI number
- 1609696160
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 278658 (AZ)
Mailing address
1049 E Colter St
Phoenix, AZ 85014-2672
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.