Individual
DALE M KRAENZLE
Active
Individual
DALE M KRAENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
63676
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263439
RURAL HEALTH CLINIC
MO
Enumeration date
01/15/2007
Last updated
04/18/2013
Update your record
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