Individual
KELLI KRUTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 EDGEWOOD RD SW, T-1771, CEDAR RAPIDS, IA 52404-7214
(319) 396-4777
Mailing address
3400 EDGEWOOD RD SW, T-1771, CEDAR RAPIDS, IA 52404-7214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21489
IA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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