Individual
AMY KATHLEEN KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9401 HOLY CROSS LN, SUITE 112, BREESE, IL 62230-3510
(618) 526-7271
(618) 526-7313
Mailing address
9401 HOLY CROSS LN, SUITE 112, BREESE, IL 62230-3510
(618) 526-7271
(618) 526-7313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000731
IL
Other
Enumeration date
08/30/2006
Last updated
10/13/2010
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