Individual
KELAN DOUGLAS KROHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005241
IA
2251X0800X
Orthopedic Physical Therapist
005241
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942641022
—
IA
Enumeration date
07/17/2013
Last updated
01/24/2024
Update your record
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