Provider Demographics
NPI:1841597127
Name:MAY, DAVID KRAFFT (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KRAFFT
Last Name:MAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PHS PROVIDER ENROLLMENT
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-253-6100
Mailing Address - Fax:505-253-6296
Practice Address - Street 1:2400 UNSER BLVD SE STE 08200
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124
Practice Address - Country:US
Practice Address - Phone:505-253-6100
Practice Address - Fax:505-253-6296
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA206317208600000X
PAOS018004208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM592712YK4MOtherMEDICARE
NM37102893Medicaid