Kruk, Kelly M.

Kruk, Kelly M. is an individual health care provider with primary practice located at 10 Fern Ln , Saint Simons Island GA 31522-2700. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Kruk, Kelly M. can be contacted via phone (304) 716-1912.

Contact Information

Primary practice address
10 Fern Ln Saint Simons Island GA 31522-2700
Phone: (304) 716-1912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X DA00245 Rhode Island
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 271534 New York

Profile Details

NPI number 1285682435
LBN Legal business name Kruk, Kelly M.
Credentials D.O., D.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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