Individual
DR. WILLIAM BRADLEY KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, M1-210, 2411 HOLMES STREET, KANSAS CITY, MO 64108-2792
(816) 235-6626
(816) 235-6629
Mailing address
101 W 69TH ST, KANSAS CITY, MO 64113-2503
(816) 842-2571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005012183
MO
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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