Provider Demographics
NPI:1538173448
Name:KRAUSE, CURT A (DC)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:A
Last Name:KRAUSE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 NW SAMANTHA COURT
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015
Mailing Address - Country:US
Mailing Address - Phone:816-520-5511
Mailing Address - Fax:
Practice Address - Street 1:12500 E US HIGHWAY 40
Practice Address - Street 2:STE K
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5928
Practice Address - Country:US
Practice Address - Phone:816-520-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003002240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR480000Medicare ID - Type UnspecifiedCHIROPRACTOR