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NPI Code Detail

MEDICARE: KIMBERLY KRAUS MD

MEDICARE:   KIMBERLY  KRAUS  MD
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
1207V00000XObstetrics & Gynecology Physician35-071413OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1160047547OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164405924
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY KRAUS MD
Provider Business Mailing Address
First Line : 7255 OLD OAK BLVD
Second Line : SUITE C 112
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3329
Country : US
Telephone Number : 440-816-5333
Fax Number : 888-376-2624
Provider Business Practice Location Address
First Line : 7255 OLD OAK BLVD
Second Line : SUITE C 112
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3329
Country : US
Telephone Number : 440-816-5333
Fax Number : 888-376-2624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 03/10/2015

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Directions to “ KIMBERLY KRAUS MD” Practice Location

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