Individual
KALLEN KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10448-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10448-24
LICENSE NUMBER
WI
05
—
11014100
—
WI
05
—
11014110
—
WI
05
—
36124200
—
WI
01
—
390848401050
BLUE CROSS
WI
Enumeration date
04/08/2008
Last updated
04/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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