Kruse, Kathryn E
Kruse, Kathryn E is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kruse, Kathryn E can be contacted via phone (765) 751-1720.Contact Information
Primary practice address
2401 W University Ave
Muncie IN 47303-3428
Phone: (765) 751-1720
Fax: (765) 281-6567
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10002332A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002332A | Indiana |
Profile Details
NPI number | 1851801880 |
---|---|
LBN Legal business name | Kruse, Kathryn E |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2017 |
Last updated | Jun 13th, 2023 - about 2 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 | 1851801880 | NPPES |
Indiana | Other | 266430686 | MEDICARE PTAN |
Indiana | Other | IN2614065 | MEDICARE PTAN |
Indiana | MEDICAID | 300007719 | MEDICARE PTAN |
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