Bryant Kraus

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ivins, UT

NPI 1790585099 · NPPES record last updated Mar 17, 2025

Key facts

NPI
1790585099
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
81 N Apex LN
Ivins, UT 84738-1295
Phone
(970) 294-1943
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

81 N Apex LN
Ivins, UT 84738-1295

Mailing address

81 N Apex LN
Ivins, UT 84738-1295

Other providers in Ivins, UT

All providers in Ivins, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.