Provider Demographics
NPI:1164601373
Name:KROEN, KARL LANCE (APRN)
Entity Type:Individual
Prefix:MR
First Name:KARL
Middle Name:LANCE
Last Name:KROEN
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:2102 BAPTISTE DR
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-1314
Mailing Address - Country:US
Mailing Address - Phone:913-557-5678
Mailing Address - Fax:913-557-5681
Practice Address - Street 1:1017 E MARKET ST
Practice Address - Street 2:
Practice Address - City:LA CYGNE
Practice Address - State:KS
Practice Address - Zip Code:66040-9102
Practice Address - Country:US
Practice Address - Phone:913-757-4575
Practice Address - Fax:913-757-3710
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2021-09-14
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Provider Licenses
StateLicense IDTaxonomies
KS46099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily