Individual
KELSEY L KROTIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
479 EISENHOWER ST, MARENGO, IL 60152-9565
(716) 997-7857
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
135.001091
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
02/09/2023
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