Individual
COURTNEY KRUSEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2802 SW 11TH ST, LEES SUMMIT, MO 64081-3747
(303) 815-8096
Mailing address
2802 SW 11TH ST, LEES SUMMIT, MO 64081-3747
(303) 815-8096
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2005018854
MO
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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