Individual
DR. JOEL JASON KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6610
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 786-9009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28499
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382580A
—
OK
01
—
200468380R
GROUP MEDICAID
OK
01
—
900522214
GROUP MEDICARE
OK
Enumeration date
06/29/2011
Last updated
03/17/2022
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