Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY MARIE KRAUSE, PA-C
Active Sole ProprietorMRS. KELLY MARIE KRAUSE, PA-C is a Physician Assistant healthcare provider located in MOUNTAIN HOME, Arkansas. NPI 1487063897 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MOUNTAIN HOME, AR
Registration Details
- NPI Number
- 1487063897
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2014 (12.004306322512 yrs)
- Last Updated
- Sep 29, 2022
- Licenses
-
PA-567 (AR)PA-567 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2062 HIGHWAY 62 WMOUNTAIN HOME, AR, 726537656Browse AR providers · Browse ZIP 72653
- Phone
- 8704255464
- Fax
- 8704255465
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in MOUNTAIN HOME, AR
| Name | Credential | NPI |
|---|---|---|
| JEFFERY D TATE | PA-C | 1356549901 |
| MRS. DIANA SUE RILEY | P.A. | 1912156068 |
| NIGER STICE | PA-C | 1548500770 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.