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DR. MELANIE SUSAN KRAFT MD NPI 1528006590


NPI Information

NPI: 1528006590
Provider Name: DR. MELANIE SUSAN KRAFT, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4500 S 102ND EAST AVE
TULSA, OK
ZIP 74146
Phone: (918) 627-3084
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DR. Melanie Susan Kraft, MD is a family medicine in Tulsa, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Melanie Susan Kraft, MD NPI is 1528006590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 S 102ND EAST AVE
TULSA, OK
ZIP 74146-813
Phone: (918) 627-3084

The enumeration date for this NPI number is 6/3/2006 and was last updated on 9/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine104143MISSOURINo
2207Q00000XFamily Medicine21010OKLAHOMAYes
3207Q00000XFamily Medicine04-27866KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200000600 AMEDICAIDKANSAS
2404743MEDICARE PINOKLAHOMA
3G86175MEDICARE UPINMISSOURI
4200237300AMEDICAIDOKLAHOMA
5203874268MEDICAIDMISSOURI
6P00105055MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRAILROAD MEDICARE-GOPPERT
7200000600BMEDICAIDKANSAS
8P53C813MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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