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NPI Code Detail

MEDICARE: TARA KRAUSE

MEDICARE: TARA KRAUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistKS

General Provider Information

NPI Number : 1518333608
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA KRAUSE
Provider Business Mailing Address
First Line : 603 N LONGFELLOW LN
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-7543
Country : US
Telephone Number : 816-289-6808
Fax Number :
Provider Business Practice Location Address
First Line : 7000 W 121ST ST STE 110
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66209-2011
Country : US
Telephone Number : 816-289-6808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 12/20/2023

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Directions to “ TARA KRAUSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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