MEDICARE: ROBERT R KRAFT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	29919	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101007	OTHER	KS	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	460857	OTHER	KS	CHILDRENS MERCY FAMILY HP

General Provider Information

NPI Number	:	1952305716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT R KRAFT MD

Provider Business Mailing Address
First Line	:	651 E PRESCOTT
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-7408
Country	:	US
Telephone Number	:	785-825-7251
Fax Number	:	785-825-6887

Provider Business Practice Location Address
First Line	:	651 E PRESCOTT
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-7408
Country	:	US
Telephone Number	:	785-825-7251
Fax Number	:	785-825-6887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/16/2011

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