Individual
DR. WILLIAM FREDERICK KROOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
187 DOCTORS DR, PEARL, MS 39208-4042
(601) 939-8921
(601) 932-5902
Mailing address
2001 AIRPORT RD N, SUITE 204, FLOWOOD, MS 39232-8827
(601) 932-3191
(601) 420-4375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08839
MS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
08839
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015628
—
MS
01
—
1427063957
NPI
—
Enumeration date
10/18/2005
Last updated
05/09/2019
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