Individual
BRYNN CHARLOTTE KRUKEMYER
Active
Individual
BRYNN CHARLOTTE KRUKEMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
50.006703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.006703RX
STATE LICENSE
OH
Enumeration date
01/31/2021
Last updated
06/13/2023
Update your record
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