Individual
DR. KELLY KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2250 S ANKENY BLVD, ANKENY, IA 50023-9093
(515) 725-1400
Mailing address
2250 S ANKENY BLVD, ANKENY, IA 50023-9093
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD-45172
IA
Other
Enumeration date
05/09/2013
Last updated
08/11/2020
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