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General NPI Number Information
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NPI Number | 1528509767
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Entity Type | Individual
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Provider Name | RYAN DOUGLAS KRAUS MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 7350 W DESCHUTES AVE STE A
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City | KENNEWICK
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State | WA
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Zip | 99336-7802
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Country | US
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Telephone | 509-737-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 550 GAGE BLVD STE 101
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City | RICHLAND
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State | WA
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Zip | 99352-9532
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Country | US
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Telephone | 509-473-0637
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Fax | 509-627-2983
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 68868
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 11420213-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD61580425
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License Number State | WA
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