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Search › Indiana › 103TC0700X

Klinton Krouse, HSPP

NPI 1558698357 · on the registry since 2009

Practice

Address
2100 Goshen Rd
Fort Wayne, IN 46808
Phone
(260) 471-3500
Fax
(260) 471-4263
Organisation at this address
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-14

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 Indiana