Provider Demographics
NPI:1700042892
Name:DENNY E KROUT DO INC
Entity Type:Organization
Organization Name:DENNY E KROUT DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:KROUT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-836-2204
Mailing Address - Street 1:8523 E 11TH ST STE A2
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-7947
Mailing Address - Country:US
Mailing Address - Phone:918-836-2204
Mailing Address - Fax:918-836-2206
Practice Address - Street 1:8523 E 11TH ST STE A2
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-7947
Practice Address - Country:US
Practice Address - Phone:918-836-2204
Practice Address - Fax:918-836-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1608207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100099770AMedicaid
OKE09766Medicare UPIN