Provider Demographics
NPI:1174556476
Name:KRAL, MARTHA DUKES (CRNA)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:DUKES
Last Name:KRAL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 SUNCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1316
Mailing Address - Country:US
Mailing Address - Phone:912-660-0652
Mailing Address - Fax:
Practice Address - Street 1:803 SUNCREST BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1316
Practice Address - Country:US
Practice Address - Phone:912-897-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN070216367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered