Individual
DR. KEVIN R KRAFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N CURTIS RD, STE 202, BOISE, ID 83706-1346
(208) 377-3435
(208) 377-3147
Mailing address
1000 N CURTIS RD, STE 202, BOISE, ID 83706-1346
(208) 377-3435
(208) 377-3147
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
M7222
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804140000
—
ID
Enumeration date
05/24/2005
Last updated
09/30/2011
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