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
Phone: (218) 205-1995
Fax: (218) 864-5770
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043452527 | NPPES |
Minnesota | Other | CNP2016 | NURSE PRACTITIONER LISCENSE |
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