Individual
HENRY G KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 N FIREWEED ST STE D, SOLDOTNA, AK 99669-7570
(907) 262-6454
(907) 262-0832
Mailing address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
(907) 262-6454
(907) 262-0834
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4336
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200039684
ALASKA RAILROAD I.D.
AK
05
—
MD 4333
—
AK
Enumeration date
06/15/2005
Last updated
03/14/2024
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