Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN RICHARD KRACKE, PH.D.
ActiveDR. KEVIN RICHARD KRACKE, PH.D. is a Psychologist healthcare provider located in LEWISTON, Idaho. NPI 1164416749 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LEWISTON, ID
Registration Details
- NPI Number
- 1164416749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2005 (20.886132238894 yrs)
- Last Updated
- Mar 15, 2013
- License
-
PSY189 (ID)
Practice Information
- Address
-
422 17TH STLEWISTON, ID, 835012526Browse ID providers · Browse ZIP 83501
- Phone
- 2087434680
- Fax
- 2087431756
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. DELIA MEDLIN | PH.D. | 1558354290 |
| DR. RICHARD BALLOU GALLAHER JR. | PHD | 1376634345 |
| REBECCA J ALEXANDER | PH.D | 1184705618 |
| PHILIP N MACKINNON | PH D | 1376681098 |
| MR. PAUL KWON | PH.D. | 1861709990 |
| DR. GARY L. GROGAN | PHD | 1508264995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.