Healthcare Provider Details

I. General information

NPI: 1891146676
Provider Name (Legal Business Name): CHRISTINE MARIE KRAFT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CORPORATE WOODS, 10870 BENSON DRIVE #2160
OVERLAND PARK KS
66210
US

IV. Provider business mailing address

PO BOX 875743
KANSAS CITY MO
64187-5743
US

V. Phone/Fax

Practice location:
  • Phone: 833-357-3227
  • Fax:
Mailing address:
  • Phone: 913-215-5008
  • Fax: 816-447-3960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number77246
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: