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Individual

JOHN KENT KRATZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
107 W PICKWICK DR, STE A, SYRACUSE, IN 46567-1832
(574) 457-8585
(574) 457-8755
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000948A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100159230
IN
Enumeration date
06/14/2006
Last updated
12/15/2021
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