| Organization Name: | PAUL G KROUSE DPM PC |
| NPI Number: | 1063694818 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL G KROUSE (DOCTOR) |
| Mailing Address: | 1201 Ligonier St Latrobe |
| State: | PA US |
| Postal Code: | 156501921 |
| Phone Number: | 7245393650 |
| Fax Number: | 7245393433 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC003511L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |