Individual
ALLISON M. KRAKEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
459 N HIGHWAY 52, MONCKS CORNER, SC 29461-3924
(843) 899-3870
(843) 899-3877
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19136
SC
363LF0000X
Family Nurse Practitioner
19136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3080
—
SC
01
—
SC5269I818
MEDICARE PIN
SC
Enumeration date
12/19/2014
Last updated
11/15/2024
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