Individual
DR. KRISTEN LYNN RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1235 S REED RD, KOKOMO, IN 46902
(765) 459-5117
Mailing address
1235 S REED RD, KOKOMO, IN 46902-1904
(765) 459-5117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1432
NE
152W00000X
Optometrist
Primary
18003649A
IN
Other
Enumeration date
11/17/2010
Last updated
01/26/2015
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