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Individual

DR. JOHN NICHOLAS KRAVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
111 S SHERRIN AVE, LOUISVILLE, KY 40207-3221
(502) 895-9999
(502) 895-9999
Mailing address
111 S SHERRIN AVE, LOUISVILLE, KY 40207-3221
(502) 895-9999
(502) 895-9999

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0721
KY
103TC0700X
Clinical Psychologist
0721
KY
103TC1900X
Counseling Psychologist
0721
KY
103TC2200X
Clinical Child & Adolescent Psychologist
0721
KY
103TF0000X
Family Psychologist
0721
KY
106H00000X
Marriage & Family Therapist
0035
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000041691
BLUE CROSS BLUE SHIELD
KY
01
044837
VALUE OPTIONS
KY
01
17608 V14833
ALTERNATIVE HEALTH
KY
01
62-52930
UNITED BEHAVIORAL
KY
01
75671
CMG
KY
01
7585141
AETNA
KY
01
KY0003291
TRICARE
KY
Enumeration date
11/01/2006
Last updated
09/11/2025
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