Dr. Kenneth Krause, D.M.D
Dentist in Kokomo, IN. Individual provider (NPI-1).
NPI number1457647331
StatusActive
Last updated in NPPESJun 20, 2011
Details
- NPI
- 1457647331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Krause
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2011
- Last updated
- Jun 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12011678A | IN | Yes |
Practice location
2124 E BoulevardKokomo, IN 46902-2401
Phone 765-454-9700
Mailing address
2124 E BoulevardKokomo, IN 46902-2401
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