Search › Georgia › 207W00000X
Kelly Kruk, D.O., D.A
NPI 1285682435 · on the registry since 2006
Practice
- Address
- 10 Fern Ln
Saint Simons Island, GA 31522 - Phone
- (304) 716-1912
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 171100000X
- Licence states on file
- RI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia