Individual
REBEKAH COURTNEY KRUKENBERG
Active
Individual
REBEKAH COURTNEY KRUKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC, LGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000060A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008013
—
IN
Enumeration date
03/14/2013
Last updated
02/22/2024
Update your record
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