Provider Demographics
NPI:1861537342
Name:KRAFT, AMIE LYNN
Entity type:Individual
Prefix:
First Name:AMIE
Middle Name:LYNN
Last Name:KRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HELEN CIR
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2730
Mailing Address - Country:US
Mailing Address - Phone:610-948-5265
Mailing Address - Fax:
Practice Address - Street 1:1220 VALLEY FORGE RD
Practice Address - Street 2:SUITE 18
Practice Address - City:VALLEY FORGE
Practice Address - State:PA
Practice Address - Zip Code:19482
Practice Address - Country:US
Practice Address - Phone:610-574-2801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist