Provider Demographics
NPI:1225394448
Name:KRANZ, CHARITY (DO)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:KRANZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:
Other - Last Name:ZABEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1657 FOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-9439
Mailing Address - Country:US
Mailing Address - Phone:612-709-8279
Mailing Address - Fax:
Practice Address - Street 1:1657 FOUNTAIN LN
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-9439
Practice Address - Country:US
Practice Address - Phone:612-709-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY040362083P0901X
KYR36642083P0901X, 390200000X
SD0087390200000X
SD0233390200000X
MN664652083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program