Kruse, Jacklyn Marie

Kruse, Jacklyn Marie is an individual health care provider with primary practice located at 3508 S Lafountain St , Kokomo IN 46902-3803. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Kruse, Jacklyn Marie can be contacted via phone (765) 776-8051.

Contact Information

Primary practice address
3508 S Lafountain St Kokomo IN 46902-3803
Phone: (765) 776-8051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X S025877 Arizona
Pharmacy Service Providers / Ambulatory Care 1835P2201X 26029245A Indiana

Profile Details

NPI number 1235863291
LBN Legal business name Kruse, Jacklyn Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2022
Last updated Apr 20th, 2024 - about 8 months 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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