Individual provider · Type 1 NPI
Keenan North Krause, PA-C
Surgical Physician Assistant · Pittsburgh, PA
NPI number
1104597640
Active
Practice location
Upmc Passavant Medical Building T, 9104 Babcock Blvd, Suite 2120
Pittsburgh, PA 15237
Mailing address
224 E Fulton St
Butler, PA 16001-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA062870 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1104597640
Keenan North Krause, PA-C's National Provider Identifier is 1104597640, issued on Sep 24, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Sep 24, 2021.