Individual
JUSTIN KRAFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
456 N NEW BALLAS RD STE 348, SAINT LOUIS, MO 63141-6846
(314) 548-0265
Mailing address
PO BOX 78429, SAINT LOUIS, MO 63178-8429
(314) 548-0265
(314) 548-6555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022004002
MO
Other
Enumeration date
01/07/2021
Last updated
12/21/2023
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