Provider Demographics
NPI:1548381692
Name:STRAUSS, KENNETH W (MD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:W
Last Name:STRAUSS
Suffix:
Gender:M
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:RUE DU JARDIN 9
Mailing Address - Street 2:TONGRE NOTRE-DAME
Mailing Address - City:BELGIUM
Mailing Address - State:BE
Mailing Address - Zip Code:7951
Mailing Address - Country:BE
Mailing Address - Phone:325-372-0460
Mailing Address - Fax:
Practice Address - Street 1:RUE DU JARDIN 9
Practice Address - Street 2:TONGRE NOTRE-DAME
Practice Address - City:BELGIUM
Practice Address - State:BE
Practice Address - Zip Code:7951
Practice Address - Country:BE
Practice Address - Phone:325-372-0460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70504207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism