MEDICARE: RHONDA M KRAFT

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	163WC0400X	Case Management Registered Nurse	R108411	AR

General Provider Information

NPI Number	:	1437081239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA M KRAFT

Provider Business Mailing Address
First Line	:	1090 ARNOLD DR
Second Line	:
City	:	LITTLE ROCK AFB
State	:	AR
Zip	:	72099-4933
Country	:	US
Telephone Number	:	501-987-3931
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 ARNOLD DR
Second Line	:
City	:	LITTLE ROCK AFB
State	:	AR
Zip	:	72099-4933
Country	:	US
Telephone Number	:	501-987-3931
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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