Individual
KODY JOSEPH KRANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SERGEANT U.S. ARMY
Contact information
Practice address
422 W 11TH ST, BAYARD, NE 69334-2044
(308) 225-2012
Mailing address
PO BOX 352, BAYARD, NE 69334-0352
(308) 225-2012
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
H13335198
NE
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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