Provider Demographics
NPI:1790313583
Name:KRAUS-KOZIOL, CAROLYN (MD, MSC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:KRAUS-KOZIOL
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:KRAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSC
Mailing Address - Street 1:21 ORINDA WAY STE C126
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2530
Mailing Address - Country:US
Mailing Address - Phone:650-382-3519
Mailing Address - Fax:
Practice Address - Street 1:401 QUARRY RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1419
Practice Address - Country:US
Practice Address - Phone:650-725-5591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1856412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry