Kruse, Kevan D.
Kruse, Kevan D. is an sole proprietor health care provider with primary practice located at 641 W Lumsden Rd , Brandon FL 33511-5911. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Kruse, Kevan D. can be contacted via phone (813) 654-5413.Contact Information
Primary practice address
641 W Lumsden Rd
Brandon FL 33511-5911
Phone: (813) 654-5413
Fax: (813) 643-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | CH 6698 | Florida |
Profile Details
| NPI number | 1861422677 |
|---|---|
| LBN Legal business name | Kruse, Kevan D. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Aug 31st, 2012 - about 12 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 | 1861422677 | NPPES |
| Florida | MEDICAID | 3815919-00 |
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