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Individual

DR. KEVIN PHILLIP KRUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
192 PARK CLUB LN STE 100, WILLIAMSVILLE, NY 14221-5270
(716) 204-1101
(716) 204-0914
Mailing address
192 PARK CLUB LN STE 120, WILLIAMSVILLE, NY 14221-5270
(716) 559-3803
(716) 961-4198

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
333606-01
NY
207X00000X
Orthopaedic Surgery Physician
MD17249
HI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
333606-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD-17249
MD
HI
Enumeration date
06/13/2012
Last updated
01/27/2025
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