Healthcare Provider Details
I. General information
NPI: 1740347186
Provider Name (Legal Business Name): ALAN J KRAUS MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6325 HUMPHREYS BLVD
MEMPHIS TN
38120-2300
US
IV. Provider business mailing address
6325 HUMPHREYS BLVD
MEMPHIS TN
38120-2300
US
V. Phone/Fax
- Phone: 901-522-7700
- Fax: 901-522-2600
- Phone: 901-603-5402
- Fax: 901-522-7700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | MD 14829 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
ALAN
JEFFREY
KRAUS
Title or Position: MD
Credential: MD
Phone: 901-754-3365