Individual
DANIEL E KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 N LEBANON ST STE 210, LEBANON, IN 46052-8622
(765) 485-8896
(765) 485-8795
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
01039565A
IN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
01039565A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100382710
—
IN
Enumeration date
05/19/2006
Last updated
10/11/2023
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