| Doctor Name: | DALE M KRAENZLE |
| NPI Number: | 1437200649 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 63676 |
| Business Practice Address: | 930 Park Dr Ste Genevieve, MO - 636701539 |
| Business Phone Number: | 5738834477 |
| Business Fax Number: | 5738834472 |
| Mailing Address: | 930 Park Dr, STE GENEVIEVE |
| State: | MO |
| Postal Code: | 636700366 |
| Phone Number: | 5738837424 |
| Fax Number: | |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 63676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |