Individual
DR. KELLY M. KRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O., D.A.
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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