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General NPI Number Information
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NPI Number | 1205023538
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Entity Type | Organization
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Legal Business Name | D. PRICE KRAFT M.D. INC.
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6585 S YALE AVE SUITE 630
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City | TULSA
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State | OK
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Zip | 74136-8384
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Country | US
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Telephone | 918-671-2157
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Fax |
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Provider Business Mailing Address
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Address Line | 6585 S YALE AVE SUITE 630
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City | TULSA
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State | OK
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Zip | 74136-8384
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Country | US
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Telephone | 918-671-2157
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. D. PRICE KRAFT
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Credential | M.D.
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Telephone | 918-671-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 12228
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License Number State | OK
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