Individual
DR. KRISTIN L KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 COURT ST, PUEBLO, CO 81003-2720
(719) 543-6755
(719) 583-2236
Mailing address
1120 MINNEQUA AVE, PUEBLO, CO 81004-3734
(719) 564-0660
(719) 564-0037
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39497
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90389344
—
CO
Enumeration date
09/19/2005
Last updated
06/11/2014
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