Healthcare Provider Details

I. General information

NPI: 1104965144
Provider Name (Legal Business Name): LINDSAY KRALL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY KRALL M.D.

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 AIRPORT RD
RIFLE CO
81650-8510
US

IV. Provider business mailing address

3 HEATHER DR
COLORADO SPRINGS CO
80906-3113
US

V. Phone/Fax

Practice location:
  • Phone: 970-625-1100
  • Fax:
Mailing address:
  • Phone: 970-376-1147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD 60147182
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number51920-020
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number51638
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: