Doctor Name: | MRS. BONNIE G KRAFT |
NPI Number: | 1942593728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R0046197 |
Business Practice Address: | Rr 1 Box 34a Watonga, OK - 737729706 |
Business Phone Number: | 5806234991 |
Business Fax Number: | 5806235490 |
Mailing Address: | Rr 1 Box 34a, WATONGA |
State: | OK |
Postal Code: | 737729706 |
Phone Number: | 5806234991 |
Fax Number: | 5806235490 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | R0046197 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |