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NPI Code Detail

MEDICARE: KEVIN KRAFT LMSW

MEDICARE: KEVIN KRAFT LMSW
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
1104100000XSocial Worker129681NY

General Provider Information

NPI Number : 1871457549
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN KRAFT LMSW
Provider Business Mailing Address
First Line : 180 WITTENBERG RD
Second Line :
City : BEARSVILLE
State : NY
Zip : 12409-5642
Country : US
Telephone Number : 845-452-1110
Fax Number : 845-790-5998
Provider Business Practice Location Address
First Line : 239 GOLDEN HILL LN
Second Line :
City : KINGSTON
State : NY
Zip : 12401-6452
Country : US
Telephone Number : 845-486-2703
Fax Number : 845-383-1729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/30/2025

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