Rebecca B Kraftick PA-C

NPI 1639112402 - Physician Assistant - 363AM0700X

NPI Details
NPI 1639112402
Gender Female
Enumeration Date 06/13/2006
Last Updated 10/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1222 TROTWOOD AVE
SUITE 603
COLUMBIA TN, 38401-6436, US
Phone (931) 381-9338
Fax (931) 381-9266
Business Location
854 W JAMES CAMPBELL BLVD
SUITE 303
COLUMBIA TN, 38401-4659, US
Phone (931) 381-9338
Fax (931) 381-9266
Toxanomy
Taxonomy Code 363AM0700X
License State Tennessee
License Number 2588
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According to our database, Rebecca B Kraftick PA-C NPI is 1639112402, taxonomy code is 363AM0700X and license number is 2588, license state is located at Tennessee. Rebecca B Kraftick PA-C physically located at 1222 Trotwood Ave, Columbia TN, 38401-6436. NPI Number Rebecca B Kraftick PA-C has the Individual type.

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1639112402 NPI number is provided on an as is basis without warranty of any kind. 1639112402 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca B Kraftick PA-C are for informational purposes only.