Organization
KEVIN CROUSE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN CROUSE (OFFICE MANAGER)
(570) 714-8614
Entity
Organization
Contact information
Practice address
250 PIERCE ST STE 217, KINGSTON, PA 18704-5149
(570) 714-8614
Mailing address
250 PIERCE ST STE 217, KINGSTON, PA 18704-5149
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD044097L
PA
Other
Enumeration date
08/15/2007
Last updated
12/22/2009
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