Kruschke, Kelly Ann

Kruschke, Kelly Ann is an sole proprietor health care provider with primary practice located at 39008 Shoreview Ln , Battle Lake MN 56515-9165. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kruschke, Kelly Ann can be contacted via phone (218) 205-1995.

Contact Information

Primary practice address
39008 Shoreview Ln Battle Lake MN 56515-9165
Fax: (218) 864-5770
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP2016 Minnesota

Profile Details

NPI number 1043452527
LBN Legal business name Kruschke, Kelly Ann
Credentials DNP, FNP-BC, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2009
Last updated Oct 12th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043452527 NPPES
Minnesota Other CNP2016 NURSE PRACTITIONER LISCENSE

Popular Providers