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NPI Code Detail

MEDICARE: KAITLIN KRANTZ CRNP

MEDICARE:   KAITLIN  KRANTZ  CRNP
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
1363LP0200XPediatric Nurse Practitioner1-166642AL

General Provider Information

NPI Number : 1457980195
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN KRANTZ CRNP
Provider Business Mailing Address
First Line : 1600 7TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1711
Country : US
Telephone Number : 205-638-9100
Fax Number :
Provider Business Practice Location Address
First Line : 1600 7TH AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233-1711
Country : US
Telephone Number : 205-638-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2020
Last Update Date : 04/06/2026

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