Individual
DR. PHILLIP R KRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1948 AL HIGHWAY 157 STE 250, CULLMAN, AL 35058-0611
(256) 735-5560
(256) 801-7364
Mailing address
PO BOX 2895, CULLMAN, AL 35056-2895
(256) 735-5560
(256) 801-7364
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD.39141
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256028
—
AL
05
—
272089
—
AL
Enumeration date
02/27/2006
Last updated
09/23/2022
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