Individual
JEFFREY D KROUSKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8386
Mailing address
222 TONGASS DRIVE, SITKA, AK 99835
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
262262-3102
UT
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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