Organization
UROGYN CONSULTATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L KRUSE NP (NURSE PRACTITIONER - OWNER)
(608) 437-6035
Entity
Organization
Contact information
Practice address
2020 COUNTY ROAD Z, BLUE MOUNDS, WI 53517-9629
(608) 437-6035
(608) 437-6035
Mailing address
2020 COUNTY ROAD Z, BLUE MOUNDS, WI 53517-9629
(608) 437-6035
(608) 437-6035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41256200
—
WI
Enumeration date
12/29/2006
Last updated
08/22/2020
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