Search › Arizona › 111N00000X
Kevin Krause
NPI 1477622405 · on the registry since 2006 · sole proprietor
Practice
- Address
- 34501 South Black Canyon Highway
Suite #3
Black Canyon City, AZ 85324 - Phone
- (623) 374-5658
- Fax
- (623) 374-5233
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona