Healthcare Provider Details

I. General information

NPI: 1194711481
Provider Name (Legal Business Name): HARRY LEE KRAUS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 KINGS WAY SUITE 2600
WILLIAMSBURG VA
23185-2505
US

IV. Provider business mailing address

856 J CLYDE MORRIS BLVD SUITE A
NEWPORT NEWS VA
23601-1318
US

V. Phone/Fax

Practice location:
  • Phone: 757-345-0141
  • Fax: 757-253-1527
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101046374
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: