| Kenneth D Krause Md Pc | |
|
2600 S Parker Rd #4-242 Aurora CO 80014-1613 | |
| (303) 750-2082 | |
| (303) 750-6313 |
| Full Name | Kenneth D Krause Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 2600 S Parker Rd, Aurora, Colorado |
| Authorized Official Name and Position | Kenneth Krause (PRESIDENT) |
| Authorized Official Contact | 3037502082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth D Krause Md Pc 2600 S Parker Rd #4-242 Aurora CO 80014-1613 Ph: (303) 750-2082 | Kenneth D Krause Md Pc 2600 S Parker Rd #4-242 Aurora CO 80014-1613 Ph: (303) 750-2082 |
| NPI Number | 1023015435 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 10/18/2007 |
| Medicare PECOS PAC ID | 1951389519 |
|---|---|
| Medicare Enrollment ID | O20040709001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023015435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20384 (Colorado) | Primary |
| Provider Name | Kenneth D Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134290349 PECOS PAC ID: 8921086588 Enrollment ID: I20040709001146 |
| Provider Name | Vicki L Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407846934 PECOS PAC ID: 1759514508 Enrollment ID: I20140430002327 |
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