Individual
DR. LINDA J CROUSE
Active
Individual
DR. LINDA J CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0420880
KS
174400000X
Specialist
Primary
R6E86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202600D
—
KS
01
—
11730067
BCBS OF KANSAS CITY
MO
05
—
202205506
—
MO
01
—
4001400
AETNA
—
01
—
400850
BCBSKANSAS
KS
Enumeration date
05/23/2006
Last updated
11/11/2009
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