Provider Demographics
NPI:1316953169
Name:ARLENE KRAUT MD OB-GYN LLC
Entity type:Organization
Organization Name:ARLENE KRAUT MD OB-GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:N
Authorized Official - Last Name:KRAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-288-7169
Mailing Address - Street 1:207 SPARKS AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3739
Mailing Address - Country:US
Mailing Address - Phone:812-288-7169
Mailing Address - Fax:812-288-2861
Practice Address - Street 1:207 SPARKS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3739
Practice Address - Country:US
Practice Address - Phone:812-288-7169
Practice Address - Fax:812-288-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062291A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN247900Medicare ID - Type Unspecified
KSH32362Medicare UPIN