Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Richard W Craddock, PA-C

Individual provider Physician Assistant · NPI 1467768804

Richard W Craddock, PA-C is a Physician Assistant in South Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2010.

Licensed in
WV
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 Poplar St
South Charleston, WV 25309-1474
Phone: (304) 342-3891
Fax: (304) 342-5307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 00292 (WV)

Record details

NPI number1467768804
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESNovember 1, 2012

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