Individual
KYOUNGOK IM CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W 16TH ST, EUREKA, KS 67045-1096
(620) 583-7451
Mailing address
222 N ADAMS ST, EUREKA, KS 67045-1941
(620) 953-2370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-84282-112
KS
Other
Enumeration date
04/19/2025
Last updated
04/22/2025
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