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NPI Code Detail

MEDICARE: DR. KATHRYN JEAN CROOKS MD

MEDICARE:  DR. KATHRYN JEAN CROOKS  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
1207Q00000XFamily Medicine Physician4673NV

General Provider Information

NPI Number : 1497774442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN JEAN CROOKS MD
Provider Business Mailing Address
First Line : 4320 W ARBY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-5108
Country : US
Telephone Number : 702-389-1306
Fax Number : 702-914-7312
Provider Business Practice Location Address
First Line : 4320 W ARBY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-5108
Country : US
Telephone Number : 702-389-1306
Fax Number : 702-914-7312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KATHRYN JEAN CROOKS MD” Practice Location

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