MEDICARE: EMILY SUZANNE KRALL

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	374J00000X	Doula		SC

General Provider Information

NPI Number	:	1336081058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY SUZANNE KRALL

Provider Business Mailing Address
First Line	:	207 ROPER MEADOW DR
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-4950
Country	:	US
Telephone Number	:	303-919-1472
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 ROPER MEADOW DR
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-4950
Country	:	US
Telephone Number	:	303-919-1472
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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