Healthcare Provider Details

I. General information

NPI: 1508057712
Provider Name (Legal Business Name): WOMANS CLINIC OF BRANSON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 HIGHWAY 248
BRANSON MO
65616-8398
US

IV. Provider business mailing address

1135 E LAKEWOOD SUITE 112
SPRINGFIELD MO
65810
US

V. Phone/Fax

Practice location:
  • Phone: 417-887-5500
  • Fax: 417-883-8964
Mailing address:
  • Phone: 417-334-7275
  • Fax: 417-883-8964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD101532
License Number StateMO

VIII. Authorized Official

Name: DR. DONALD P KRATZ
Title or Position: MD/PRESIDENT
Credential: MD
Phone: 417-887-5500