| Doctor Name: | MR. JACK W KRANZ |
| NPI Number: | 1477723989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 13-72905-042 |
| Business Practice Address: | 6706 E Castleton Rd Haven, KS - 675438552 |
| Business Phone Number: | 6204653486 |
| Business Fax Number: | |
| Mailing Address: | 6706 E Castleton Rd, HAVEN |
| State: | KS |
| Postal Code: | 675438552 |
| Phone Number: | 6204653486 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0003X |
| License Number: | 13-72905-042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |