Individual
EMMA I KROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
118 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 593-5437
(937) 593-0110
Mailing address
110 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP01199
OH
Other
Enumeration date
11/07/2006
Last updated
08/16/2011
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