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NPI Code Detail

MEDICARE: MADISON KRAFT

MEDICARE: MADISON 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
1101Y00000XCounselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1649674151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON KRAFT
Provider Business Mailing Address
First Line : 6013 S. REDWOOD RD.
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84123
Country : US
Telephone Number : 801-255-5131
Fax Number :
Provider Business Practice Location Address
First Line : 5558 S 1900 W
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-9007
Country : US
Telephone Number : 801-255-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2014
Last Update Date : 04/23/2025

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Directions to “ MADISON KRAFT ” Practice Location

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