Individual
DR. JOEL GLEN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-2810
Mailing address
3910 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-2810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13781
KS
183500000X
Pharmacist
17850
IA
183500000X
Pharmacist
2004034226
MO
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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