| D. Price Kraft M.d. Inc. | |
|
6585 S Yale Ave Suite 630 Tulsa OK 74136-8384 | |
| (918) 671-2157 | |
| Not Available |
| Full Name | D. Price Kraft M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6585 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | D. Price Kraft (PRESIDENT) |
| Authorized Official Contact | 9186712157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D. Price Kraft M.d. Inc. 6585 S Yale Ave Suite 630 Tulsa OK 74136-8384 Ph: (918) 671-2157 | D. Price Kraft M.d. Inc. 6585 S Yale Ave Suite 630 Tulsa OK 74136-8384 Ph: (918) 671-2157 |
| NPI Number | 1205023538 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4486737848 |
|---|---|
| Medicare Enrollment ID | O20080208000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205023538 | NPI | - | NPPES |
| 17662 | Other | OK | BUREAU OF NARCOTICS DRUGS |
| 12228 | Other | OK | OKLAHOMA MEDICAL LICENSE |
| 43585 | Other | AZ | AZ MEDICAL LICENSE |
| 03254603368 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 12228 (Oklahoma) | Primary |
| Provider Name | David P Kraft |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871529198 PECOS PAC ID: 7012829807 Enrollment ID: I20100521000740 |
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