Provider Demographics
NPI:1104032424
Name:NEUHAUS, ANN KRISTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:KRISTIN
Last Name:NEUHAUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17127 OSAGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTONVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66060-4053
Mailing Address - Country:US
Mailing Address - Phone:913-485-4334
Mailing Address - Fax:
Practice Address - Street 1:17127 OSAGE RD
Practice Address - Street 2:
Practice Address - City:NORTONVILLE
Practice Address - State:KS
Practice Address - Zip Code:66060-4053
Practice Address - Country:US
Practice Address - Phone:913-485-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21596207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine