Individual
MRS. STACY LEE KURUCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 482-2345
Mailing address
4363 W ANYA CT, JASPER, IN 47546-2791
(205) 612-4895
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28168038A
IN
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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