Provider Demographics
NPI:1447475744
Name:KRAHN, EVE MARIE (MD)
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:MARIE
Last Name:KRAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVE
Other - Middle Name:EIDEL
Other - Last Name:KRAHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1020 W 65TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-1814
Mailing Address - Country:US
Mailing Address - Phone:816-444-1020
Mailing Address - Fax:
Practice Address - Street 1:1020 W 65TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-1814
Practice Address - Country:US
Practice Address - Phone:816-444-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101347208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics