Individual
DR. MELANIE SUSAN KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 S 102ND EAST AVE, TULSA, OK 74146-4813
(918) 627-3084
Mailing address
4500 S 102ND EAST AVE, TULSA, OK 74146-4813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-27866
KS
207Q00000X
Family Medicine Physician
104143
MO
207Q00000X
Family Medicine Physician
Primary
21010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000600 A
—
KS
05
—
200000600B
—
KS
05
—
200237300A
—
OK
05
—
203874268
—
MO
Enumeration date
06/03/2006
Last updated
09/25/2014
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