| NPI | 1184863730 | 
|---|---|
| Professional Name | KEVIN CHRISTOPHER KROUSE | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A044070417) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 821045) | 
| Enumeration Date | 2009-02-05 | 
| Last Update Date | 2025-03-03 |