Krantz, Kathy J.

Krantz, Kathy J. is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Krantz, Kathy J. can be contacted via phone (479) 387-7170.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (479) 387-7170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A01620ANP Arkansas

Profile Details

NPI number 1366644528
LBN Legal business name Krantz, Kathy J.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Sep 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366644528 NPPES
Arkansas Other 5W770 BLUECROSS BLUESHIELD
Arkansas MEDICAID 146677758 BLUECROSS BLUESHIELD
Arkansas Other 500021404 BLUECROSS BLUESHIELD
Arkansas MEDICAID 427470901 BLUECROSS BLUESHIELD
Arkansas MEDICAID 200122640 A BLUECROSS BLUESHIELD

Popular Providers