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Contact Information

DOMINIQUE M CRAIN, MD
20375 W 151ST ST
451
OLATHE, KS66061-5306
 Phone: 913-829-0446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOMINIQUE M CRAIN · (Female)

NPI # 1093741969
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-33476
  • KS Medicaid 200671820A
  • KS Medicaid 30004194000001
Hospital affiliation(s)
  • OLATHE MEDICAL CENTER - (Acute Care)
    20333 WEST 151ST STREET
    OLATHE, KS 66061
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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