Provider Demographics
NPI:1134317217
Name:KRAUS, KAREN LEE (CPHT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:KRAUS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:ENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 HOLLAND AVE # 119
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3410
Mailing Address - Country:US
Mailing Address - Phone:518-626-6978
Mailing Address - Fax:
Practice Address - Street 1:113 HOLLAND AVE # 119
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3410
Practice Address - Country:US
Practice Address - Phone:518-626-6978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician