MEDICARE: STEPHEN E KRAFT LLC

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	207W00000X	Ophthalmology Physician	R1PO1	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DB2242	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	132586	OTHER	MO	ANTHEM BLUE SHIELD

General Provider Information

NPI Number	:	1285624858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN E KRAFT LLC

Provider Business Mailing Address
First Line	:	1150 GRAHAM RD
Second Line	:	STE 107
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8077
Country	:	US
Telephone Number	:	314-837-3667
Fax Number	:	314-837-3728

Provider Business Practice Location Address
First Line	:	1150 GRAHAM RD
Second Line	:	STE 107
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8077
Country	:	US
Telephone Number	:	314-837-3667
Fax Number	:	314-837-3728

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN E KRAFT
Credential	:	MD
Telephone Number	:	314-837-3667

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	01/17/2008

Similar Medicare Providers

1164374062 — PINKIE MAXWELL-GREEN
Practice Location Address:

1150 GRAHAM RD
FLORISSANT, MO
63031-8077

Practice Phone: 314-206-3700
Practice Fax:

1437001138 — KIMMEA HAMILTON
Practice Location Address:

1150 GRAHAM RD
FLORISSANT, MO
63031-8077

Practice Phone: 314-206-3700
Practice Fax:

1457856338 — DASIA JOHNSON
Practice Location Address:

1150 GRAHAM RD STE 101
FLORISSANT, MO
63031-8077

Practice Phone: 314-206-3900
Practice Fax:

1942290044 — STEPHEN E KRAFT MD
Practice Location Address:

1150 GRAHAM RD , STE 107
FLORISSANT, MO
63031-8077

Practice Phone: 314-837-3667
Practice Fax: 314-837-3728

1265481352 — DR. CHARLENE ZEISSET M.D.
Practice Location Address:

1150 GRAHAM RD , SUITE 103
FLORISSANT, MO
63031-8077

Practice Phone: 314-830-4001
Practice Fax: 314-830-4647

1902838568 — MARCUS WILLIAM BAKER RPH
Practice Location Address:

1150 GRAHAM RD STE 102
FLORISSANT, MO
63031-8077

Practice Phone: 314-657-9010
Practice Fax:

Directions to “STEPHEN E KRAFT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.