Individual
DR. KELLY M. KRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., D.A.
Contact information
Practice address
10 FERN LN, SAINT SIMONS ISLAND, GA 31522-2700
(304) 716-1912
Mailing address
10 FERN LN, SAINT SIMONS ISLAND, GA 31522-2700
(304) 716-1912
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
DA00245
RI
207W00000X
Ophthalmology Physician
Primary
271534
NY
Other
Enumeration date
05/04/2006
Last updated
08/21/2020
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