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General NPI Number Information
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NPI Number | 1760956387
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Entity Type | Individual
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Provider Name | KYLE LYNN CRAVER PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 2874 S NC 127 HWY
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City | HICKORY
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State | NC
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Zip | 28602-9131
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Country | US
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Telephone | 828-294-4100
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Fax | 800-951-8614
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Provider Business Mailing Address
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Address Line | 1542 ANTIOCH DR
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City | CONOVER
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State | NC
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Zip | 28613-9267
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Country | US
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Telephone | 336-239-1464
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 7529
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7529
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001015267
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License Number State | NC
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