Dr. Jeffrey Malcolm Kraut
M.D. | Pediatric Adolescent Medicine | Male
Dr. Jeffrey Malcolm Kraut, M.D. is a Fort Bragg, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jeffrey Malcolm Kraut is
510 Cypress St Ste D, Fort Bragg, California - 95437-5411. He can be contacted on phone at
707-964-5696 and fax number 707-964-6274.
Dr. Jeffrey Malcolm Kraut is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jeffrey Malcolm Kraut is
1285657189 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 08 Jul, 2007.
Dr. Jeffrey Malcolm Kraut license number is
G21238 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. Jeffrey Malcolm Kraut specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Jeffrey Malcolm Kraut basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Jeffrey Malcolm Kraut |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jeffrey Malcolm Kraut address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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| Fax Number : | 707-964-6274 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285657189 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeffrey Malcolm Kraut are as mentioned. Primary taxonomy code for Dr. Jeffrey Malcolm Kraut, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G21238 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jeffrey Malcolm Kraut such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| OOG212380 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 510 Cypress St Ste D
Fort Bragg, CA, 95437-5411
United States |
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| Phone Number : | 707-964-5696 |
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| Fax Number : | 707-964-6274 |
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Business Location:
Patients can refer following map for directions to
Dr. Jeffrey Malcolm Kraut practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.