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Individual

BLAINE KRANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1315 E HOFFER ST, KOKOMO, IN 46902-2474
(765) 419-0411
(800) 727-9914
Mailing address
308 W BARNER ST, FRANKFORT, IN 46041-1631
(812) 264-5151

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/21/2025
Last updated
06/23/2026
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