Provider Demographics
NPI:1891998324
Name:KRALOVETZ, BONNIE (RDCS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:KRALOVETZ
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 AUSTRIAN WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3424
Mailing Address - Country:US
Mailing Address - Phone:920-254-6666
Mailing Address - Fax:
Practice Address - Street 1:2119 AUSTRIAN WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3424
Practice Address - Country:US
Practice Address - Phone:920-254-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
92953246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography