Healthcare Provider Details

I. General information

NPI: 1326077322
Provider Name (Legal Business Name): LEO E KRATZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8131 SPYGLASS HILL DR
FAYETTEVILLE PA
17222-5500
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-749-3181
  • Fax: 717-349-3191
Mailing address:
  • Phone: 717-749-3181
  • Fax: 717-349-3191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS007275E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0046721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: