| Organization Name: | KENNETH D KRAUSE MD PC |
| NPI Number: | 1023015435 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH KRAUSE (PRESIDENT) |
| Mailing Address: | 2600 S Parker Rd #4-242 Aurora |
| State: | CO US |
| Postal Code: | 800141613 |
| Phone Number: | 3037502082 |
| Fax Number: | 3037506313 |
| NPI Enumeration Date: | 06/30/2005 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |