Individual
MR. JACK W KRANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6706 E CASTLETON RD, HAVEN, KS 67543-8552
(620) 465-3486
Mailing address
6706 E CASTLETON RD, HAVEN, KS 67543-8552
(620) 465-3486
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
13-72905-042
KS
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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