Provider Demographics
NPI:1992984983
Name:KRAUSS, KERRI MARIE
Entity type:Individual
Prefix:MS
First Name:KERRI
Middle Name:MARIE
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 WINFIELD BLVD
Mailing Address - Street 2:#101
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7162
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6611 WINFIELD BLVD
Practice Address - Street 2:#101
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7162
Practice Address - Country:US
Practice Address - Phone:954-245-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services