Provider Demographics
NPI:1831672864
Name:CRAIG, BRITTANY GOODMAN (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:GOODMAN
Last Name:CRAIG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 WASHINGTON ST STE 4000
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5965
Mailing Address - Country:US
Mailing Address - Phone:816-932-3300
Mailing Address - Fax:816-932-5793
Practice Address - Street 1:4321 WASHINGTON ST STE 4000
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5965
Practice Address - Country:US
Practice Address - Phone:504-329-7413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant