Kruckeberg, Lynda K

Kruckeberg, Lynda K is an individual health care provider with primary practice located at 310 Belle Ave , Mankato MN 56001-5287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kruckeberg, Lynda K can be contacted via phone (507) 387-5581.

Contact Information

Primary practice address
310 Belle Ave Mankato MN 56001-5287
Phone: (507) 387-5581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R116090-7 Minnesota

Profile Details

NPI number 1144290719
LBN Legal business name Kruckeberg, Lynda K
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144290719 NPPES
Other 28737 SIOUX VALLEY HEALTH PLAN
Other 120812 SIOUX VALLEY HEALTH PLAN
Other 287R2KR SIOUX VALLEY HEALTH PLAN
Other 1017704 SIOUX VALLEY HEALTH PLAN
Other 07-03374 SIOUX VALLEY HEALTH PLAN
Other HP23670 SIOUX VALLEY HEALTH PLAN
Other 1836755 SIOUX VALLEY HEALTH PLAN

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