| Doctor Name: | KATHLEEN ANN KRAFT |
| NPI Number: | 1972619567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | R22638 |
| Business Practice Address: | 1108 W Us Route 66 Moriarty, NM - 870351006 |
| Business Phone Number: | 5058324434 |
| Business Fax Number: | 5058325024 |
| Mailing Address: | Po Box 537, SANDIA PARK |
| State: | NM |
| Postal Code: | 870470537 |
| Phone Number: | 5758159224 |
| Fax Number: | 5052867858 |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 11/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R22638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |