Doctor Name: | RYAN THOMAS KRAFFT |
NPI Number: | 1356597330 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | DO 5101018562 |
Business Practice Address: | 7021 Saint Andrews Rd Columbia, SC - 292121177 |
Business Phone Number: | 8034797751 |
Business Fax Number: | 8037494060 |
Mailing Address: | 1920 2nd Loop Rd, FLORENCE |
State: | SC |
Postal Code: | 295016123 |
Phone Number: | 8436789777 |
Fax Number: | 8436652814 |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 01/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | DO 5101018562 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |