Healthcare Provider Details

I. General information

NPI: 1447475744
Provider Name (Legal Business Name): EVE MARIE KRAHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVE EIDEL KRAHN MD

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 W 65TH ST
KANSAS CITY MO
64113-1814
US

IV. Provider business mailing address

1020 W 65TH ST
KANSAS CITY MO
64113-1814
US

V. Phone/Fax

Practice location:
  • Phone: 816-444-1020
  • Fax:
Mailing address:
  • Phone: 816-444-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number101347
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: