Individual
KYLE WILLIAM KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
(812) 473-2642
Mailing address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002244A
IN
363AS0400X
Surgical Physician Assistant
10002244A
IN
Other
Enumeration date
07/21/2017
Last updated
07/18/2022
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