Individual
DOMINIQUE M CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20375 W 151ST ST, 451, OLATHE, KS 66061-5306
(913) 829-0446
Mailing address
20375 W 151ST ST, 451, OLATHE, KS 66061-5306
(913) 829-0446
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
04-33476
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200671820A
—
KS
05
—
30004194000001
—
KS
Enumeration date
06/23/2006
Last updated
03/25/2024
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