Healthcare Provider Details

I. General information

NPI: 1245975440
Provider Name (Legal Business Name): JARRET KEVIN VRABEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 08/29/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35TH MDG BUILDING 99
APO AP
96319-5024
US

IV. Provider business mailing address

PSC BOX 6555
APO AP
96319-5024
US

V. Phone/Fax

Practice location:
  • Phone: 315-226-6934
  • Fax:
Mailing address:
  • Phone: 315-226-6934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102208007
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: