Individual
DR. CHARLES ANTHONY KRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
426 W 14TH ST, CHANUTE, KS 66720-2878
(620) 423-0033
Mailing address
1116 30TH DR, PARSONS, KS 67357-4602
(620) 423-0033
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP536
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073979
MHS VALUE OPTIONS
KS
01
—
119710
LABETTE MH BLUE CROSS
KS
01
—
119835
BLUE CROSS BLUE SHIELD
KS
01
—
255787
COMPSYCH
KS
Enumeration date
01/25/2007
Last updated
07/08/2007
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