DR. CHARLES ANTHONY KRALL (NPI# 1710033642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710033642 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY KRALL |
| Credential | PH.D. |
| Practice Address |
426 W 14th St Chanute KS 66720-2878 |
| Mailing Address |
1116 30th Dr Parsons KS 67357-4602 |
| Practice Telephone | 6204230033 |
| Mailing Telephone | 6204230033 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP536 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 119835 | 01 |
| KS | MHS VALUE OPTIONS | 073979 | 01 |
| KS | COMPSYCH | 255787 | 01 |
| KS | LABETTE MH BLUE CROSS | 119710 | 01 |
| Street Address |
426 W 14TH ST |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1588716963 | Amy M White Blakesley | Psychologist | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174097133 | Janine Kesterson-cravens | Psychologist | 8100 E 22nd St N # 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
| 1568655637 | Deidra Mcgie Johnson | Psychologist | 1102 S. Rouse, Pittsburg, KS 66762 | 2007-08-22 |
| 1225220858 | Leticia Ann Holub Taylor | Psychologist | 515 N Mur Len Rd, Olathe, KS 66062-1267 | 2007-08-17 |
| 1760674808 | Eric Morrison Vernberg | Psychologist | 1000 Sunnyside Ave, Clinical Child Psychology Program, Lawrence, KS 66045-7555 | 2007-08-13 |
| 1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
| 1952453573 | Nathan A Fawson | Psychologist | 304 N Jefferson, Iola, KS 66749 | 2007-01-16 |
| 1902465701 | Alison Kathleen Calkins-smith | Psychologist | 8800 W 75th St Ste 220, Shawnee Mission, KS 66204-4001 | 2019-06-06 |
| 1902306640 | Amy E Noser | Psychologist | 200 Maine St Ste A, Lawrence, KS 66044-1396 | 2018-02-20 |
| 1881103067 | Casey Anne Pederson | Psychologist | 200 Maine St, Lawrence, KS 66044-1368 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.