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Individual

KELLY ANN KRUSCHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC, RN

Contact information

Practice address
39008 SHOREVIEW LN, BATTLE LAKE, MN 56515-9165
(218) 205-1995
(218) 864-5770
Mailing address
39008 SHOREVIEW LN, BATTLE LAKE, MN 56515-9165
(218) 205-1995
(218) 864-5770

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP2016
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CNP2016
NURSE PRACTITIONER LISCENSE
MN
Enumeration date
03/31/2009
Last updated
10/12/2015
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