Provider Demographics
NPI:1386007995
Name:KRAVA, ABAGAIL
Entity type:Individual
Prefix:
First Name:ABAGAIL
Middle Name:
Last Name:KRAVA
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 1:7207 BRYN MAWR DR
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3145
Mailing Address - Country:US
Mailing Address - Phone:515-249-9290
Mailing Address - Fax:
Practice Address - Street 1:7207 BRYN MAWR DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3145
Practice Address - Country:US
Practice Address - Phone:515-249-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker