Provider Demographics
NPI:1407142284
Name:KRAFT, RANDOLPH S (DVM)
Entity Type:Individual
Prefix:DR
First Name:RANDOLPH
Middle Name:S
Last Name:KRAFT
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 MARTIN WAY E
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-5619
Mailing Address - Country:US
Mailing Address - Phone:360-491-4691
Mailing Address - Fax:360-491-2346
Practice Address - Street 1:7447 MARTIN WAY E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5619
Practice Address - Country:US
Practice Address - Phone:360-491-4691
Practice Address - Fax:360-491-2346
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT 00007319174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian