Provider Demographics
NPI:1649061896
Name:HAYCRAFT, KARA DECKER (DMD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:DECKER
Last Name:HAYCRAFT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 BACON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8319
Mailing Address - Country:US
Mailing Address - Phone:270-287-2376
Mailing Address - Fax:
Practice Address - Street 1:2736 RING RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9151
Practice Address - Country:US
Practice Address - Phone:270-200-6225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY113271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice