Crouse, Kevin

Crouse, Kevin is an individual health care provider with primary practice located at 250 Pierce St Suite 217, Kingston PA 18704-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Crouse, Kevin can be contacted via phone (570) 714-8614.

Contact Information

Primary practice address
250 Pierce St Suite 217 Kingston PA 18704-5149
Phone: (570) 714-8614
Fax: (570) 714-8616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD044097L Pennsylvania

Profile Details

NPI number 1841397460
LBN Legal business name Crouse, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Dec 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841397460 NPPES
Pennsylvania MEDICAID 0012448150003

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