Mr Kevin Christopher Krouse I, CADC-II, DOT/SAP is a
Community Health Worker based in Detroit, Michigan. Mr Kevin Christopher Krouse I is licensed to practice in California (license number A044070417) and his current practice location is
11000 W Mcnichols Rd, Suite B3, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 863-5554.
NPI number for Mr Kevin Christopher Krouse I is 1184863730 and his current mailing address is 1126 Coronel Street, San Fernando, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184863730.
Healthcare Provider's Profile
| Full Name | Mr Kevin Christopher Krouse I |
|---|
| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 11000 W Mcnichols Rd, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184863730
- Provider Enumeration Date: 02/05/2009
- Last Update Date: 03/03/2025
Medical Identifiers
Medical identifiers for Mr Kevin Christopher Krouse I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184863730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 821045 (Michigan) | Secondary |
| 172V00000X | Community Health Worker | A044070417 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Christopher Krouse I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Christopher Krouse I, CADC-II, DOT/SAP
1126 Coronel Street,
San Fernando, CA 91340-2357
Ph: (323) 743-9389 | Mr Kevin Christopher Krouse I, CADC-II, DOT/SAP
11000 W Mcnichols Rd, Suite B3,
Detroit, MI 48221-2357
Ph: (313) 863-5554 |
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