Individual
DR. SUSAN LYNNE BALK-KRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W 11TH ST, PANAMA CITY, FL 32401-2042
(850) 913-8313
(850) 913-8314
Mailing address
1000 W 11TH ST, PANAMA CITY, FL 32401-2042
(850) 913-8313
(850) 913-8314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0066176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104029
VALUEOPTIONS
—
01
—
1072896
CAQH
—
01
—
32498
BCBS-FL
FL
Enumeration date
10/16/2006
Last updated
07/08/2007
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