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NPI Code Detail

MEDICARE: MS. STEPHANIE JOANNE KRAL PA-C

MEDICARE: MS. STEPHANIE JOANNE KRAL PA-C
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
1363A00000XPhysician Assistant0010-06688NC
2363AM0700XMedical Physician Assistant0010-06688NC
3363A00000XPhysician Assistant085009004IL
4363A00000XPhysician Assistant7281-023WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467904946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE JOANNE KRAL PA-C
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-805-6000
Fax Number : 414-805-6280
Provider Business Practice Location Address
First Line : 9200 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-805-6000
Fax Number : 414-805-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2016
Last Update Date : 01/06/2026

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