Dr. Kevin Richard Kracke is a Lewiston, Idaho based psychologist with 44 years of experience in General Psychology. He completed his graduation in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kevin Richard Kracke is PSY189 for General Psychology in Idaho. His current practice location is 422 17th St, Lewiston. Patients can reach him at 208-743-4680 or can fax him at 208-743-1756. Dr. Kevin Richard Kracke is PH.D. in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1164416749. Dr. Kevin Richard Kracke is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Kevin Richard Kracke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Kevin Richard Kracke
Specialization:
General Psychology
Gender:
Male
Credentials:
PH.D.
Experience:
44+ years
Medical School Attended:
Other
Graduation Year:
1980
Accepts Medicare Assignment:
Yes
Practice Address:
422 17th St, Lewiston, Idaho, 83501-2526
Phone:
208-743-4680
Fax:
208-743-1756
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4082519830
Enrollment ID:
I20040108000543
NPI Number:
1164416749
NPI Enumeration Date:
09 Sep, 2005
NPI Last Update On:
15 Mar, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Richard Kracke are as mentioned below.
License Number
Specialization
State
Status
PSY189
General Psychology
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kevin Richard Kracke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
N4478
Other
Idaho
BLUE CROSS OF IDAHO
000010015963
Other
Idaho
BLUESHIELD OF IDAHO
806177700
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Kevin Richard Kracke Po Box 2145, Lewiston, Idaho
Zip:
83501-1465
Phone Number:
208-743-4680
Fax Number:
208-743-1756
Patients can reach Dr. Kevin Richard Kracke at 422 17th St, Lewiston, Idaho or can call to book an appointment on 208-743-4680.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.