MEDICARE: KATHRYN E 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
1	207K00000X	Allergy & Immunology Physician	MD021753E	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1962406926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN E KRAUS MD

Provider Business Mailing Address
First Line	:	701 SHARON RD
Second Line	:	STE 3
City	:	BEAVER
State	:	PA
Zip	:	15009-3147
Country	:	US
Telephone Number	:	724-775-4099
Fax Number	:	724-775-3510

Provider Business Practice Location Address
First Line	:	701 SHARON RD
Second Line	:	STE 3
City	:	BEAVER
State	:	PA
Zip	:	15009-3147
Country	:	US
Telephone Number	:	724-775-4099
Fax Number	:	724-775-3510

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	12/03/2009

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