MEDICARE: DR. RICHARD D KRAUSE D.P.M.

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
1	213E00000X	Podiatrist	12-00159	KS
2	213ES0103X	Foot & Ankle Surgery Podiatrist	12-00159	KS

General Provider Information

NPI Number	:	1144225749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD D KRAUSE D.P.M.

Provider Business Mailing Address
First Line	:	3109 12TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-4206
Country	:	US
Telephone Number	:	620-793-6592
Fax Number	:	620-793-5833

Provider Business Practice Location Address
First Line	:	3109 12TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-4206
Country	:	US
Telephone Number	:	620-793-6592
Fax Number	:	620-793-5833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/11/2025

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