Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | TP660 | KY |
NPI | 1003828500 |
---|---|
Provider Name | Donald A Kraft |
First Address | Ashland, KY 41101-2807 |
Second Address | Ashland, KY 41101-2843 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2005224000 | (05) | WV |
2408782 | (05) | OH |
64068927 | (05) | KY |
H86946 | (02) |