Individual
KATLYN RENEE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 N BUSINESS HIGHWAY 54 E, ELDON, MO 65026-2005
(573) 392-2124
(573) 392-6375
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018007746
MO
Other
Enumeration date
10/01/2018
Last updated
04/15/2024
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