Kurt E Kracaw MD LLC

NPI #1467963496 in Rigby, Idaho

Provider Information

NPI Number: 1467963496
Entity Type: Organization
Organization Name: Kurt E Kracaw MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 17, 2017
Last Updated: Apr 3, 2018

Practice Location

Address: 426 FARNSWORTH WAY STE 1
City: Rigby
State: Idaho
ZIP Code: 83442-4713
Phone: (208) 745-9411

Authorized Official

Name: DR. KURT EDWIN KRACAW, MD
Title: OWNER
Phone: (775) 772-4208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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