MEDICARE: KRYSTAL RAPP AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	3001	CA

General Provider Information

NPI Number	:	1033513460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL RAPP AU.D.

Provider Business Mailing Address
First Line	:	PSC 836 BOX 2670
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09636-9998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 836 BOX 2670
Second Line	:
City	:	FPO
State	:	AE
Zip	:	09636-9998
Country	:	US
Telephone Number	:	314-624-4226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2014
Last Update Date	:	12/17/2025

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