Provider Demographics
NPI:1457312696
Name:KRAPE, HARVEY R (PAC)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:R
Last Name:KRAPE
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0326
Mailing Address - Country:US
Mailing Address - Phone:828-586-8160
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:80 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-6784
Practice Address - Country:US
Practice Address - Phone:828-538-4546
Practice Address - Fax:828-538-4549
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101876363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8989944Medicaid
NCNC3947AOtherMEDICARE
R94185Medicare UPIN
2799573DMedicare ID - Type Unspecified