| Doctor Name: | MR. KARL LANCE KROEN |
| NPI Number: | 1164601373 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 46099 |
| Business Practice Address: | 2102 Baptiste Dr Paola, KS - 660711314 |
| Business Phone Number: | 9135575678 |
| Business Fax Number: | 9135575681 |
| Mailing Address: | 2102 Baptiste Dr, PAOLA |
| State: | KS |
| Postal Code: | 660711314 |
| Phone Number: | 9135575678 |
| Fax Number: | 9135575681 |
| NPI Enumeration Date: | 10/24/2007 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 46099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |