Provider Demographics
NPI:1740850114
Name:DR KIMBERLY KRAUS, LLC
Entity type:Organization
Organization Name:DR KIMBERLY KRAUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-816-5333
Mailing Address - Street 1:7255 OLK OAK BLVD
Mailing Address - Street 2:UNIT C112
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130
Mailing Address - Country:US
Mailing Address - Phone:440-816-5333
Mailing Address - Fax:440-201-6574
Practice Address - Street 1:7255 OLK OAK BLVD
Practice Address - Street 2:UNIT C112
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-816-5333
Practice Address - Fax:440-201-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty