Provider Demographics
NPI:1699779264
Name:KRAHLING, JAMES ANTHONY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ANTHONY
Last Name:KRAHLING
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6751 N 72ND ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1746
Mailing Address - Country:US
Mailing Address - Phone:402-572-3165
Mailing Address - Fax:402-572-3170
Practice Address - Street 1:6751 N 72ND ST
Practice Address - Street 2:SUITE 207
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1746
Practice Address - Country:US
Practice Address - Phone:402-572-3165
Practice Address - Fax:402-572-3170
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2010-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE385363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE272658Medicare ID - Type Unspecified