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NPI Code Detail

MEDICARE: KATHRYN A KRAUS PA-C

MEDICARE: KATHRYN A KRAUS PA-C
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
1363A00000XPhysician Assistant50-002225OH

General Provider Information

NPI Number : 1114900560
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN A KRAUS PA-C
Provider Business Mailing Address
First Line : PO BOX 74647
Second Line :
City : CLEVELAND
State : OH
Zip : 44194-0730
Country : US
Telephone Number : 440-879-0081
Fax Number : 440-879-0084
Provider Business Practice Location Address
First Line : 4110 WARRENSVILLE CENTER RD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-7024
Country : US
Telephone Number : 216-491-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/08/2007

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Directions to “ KATHRYN A KRAUS PA-C” Practice Location

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