Provider Demographics
NPI:1346239951
Name:PACK, CRAIG RICHARD KAI (DO)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:RICHARD KAI
Last Name:PACK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4311 CARSWELL AVE
Mailing Address - Street 2:BLDG 340
Mailing Address - City:NELLIS AFB
Mailing Address - State:NV
Mailing Address - Zip Code:89191-7069
Mailing Address - Country:US
Mailing Address - Phone:702-653-3330
Mailing Address - Fax:702-653-3591
Practice Address - Street 1:4311 CARSWELL AVE
Practice Address - Street 2:BLDG 340
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-7069
Practice Address - Country:US
Practice Address - Phone:702-653-3330
Practice Address - Fax:702-653-3591
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2015-04-08
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Provider Licenses
StateLicense IDTaxonomies
IN02002187A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine