Individual
KIMBERLY ANNE KRAGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
1634 GULL RD LOWR 201, KALAMAZOO, MI 49048-1632
(269) 343-2601
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4732584
—
MI
05
—
4732600
—
MI
01
—
540C912470
BCBS - HA
MI
01
—
640C912410
BCBS - SERVICES
MI
Enumeration date
09/26/2006
Last updated
12/30/2022
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