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Individual

TERESA O. KRAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 473-2132
(502) 459-0923
Mailing address
PO BOX 34748, LOUISVILLE, KY 40232-4748
(502) 473-2132
(502) 459-0923

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1066199
KY
163W00000X
Registered Nurse
28194225A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
3001515
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74414350
KY
Enumeration date
10/17/2006
Last updated
07/09/2013
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