Individual
KELLI KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, ARNP, FNP-BC
Contact information
Practice address
1190 RIDDLE STREET, DARRINGTON, WA 98241-9824
(360) 436-1055
(360) 436-0146
Mailing address
1400 E. KINCAID STREET, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 814-6724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
991572
CO
363L00000X
Nurse Practitioner
AP60673672
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60673672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074607
—
WA
01
—
999999
MEDICARE AND MEDICAID APPLICATIONS PENDING
CO
Enumeration date
07/20/2015
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us