Individual
ALLISON MARIE KRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-6370
Mailing address
6319 S 79TH CIR, OMAHA, NE 68127-4271
(402) 679-6284
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57324
CA
363A00000X
Physician Assistant
Primary
57324
CA
Other
Enumeration date
04/01/2019
Last updated
10/31/2019
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