Individual
MRS. BONNIE G KRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 34A, WATONGA, OK 73772-9706
(580) 623-4991
(580) 623-5490
Mailing address
RR 1 BOX 34A, WATONGA, OK 73772-9706
(580) 623-4991
(580) 623-5490
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R 00046197
OK
261QP0904X
Federal Public Health Clinic/Center
R0046197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960G
—
OK
Enumeration date
05/26/2011
Last updated
05/26/2011
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