Healthcare Provider Details

I. General information

NPI: 1619096633
Provider Name (Legal Business Name): KARI A KRAUSE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31141 23 MILE RD
CHESTERFIELD MI
48047-1862
US

IV. Provider business mailing address

31141 23 MILE RD
CHESTERFIELD MI
48047-1862
US

V. Phone/Fax

Practice location:
  • Phone: 586-725-5380
  • Fax: 586-229-2495
Mailing address:
  • Phone: 586-725-5380
  • Fax: 586-229-2495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000445
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1601000445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: