Brenda J Kruse in Mankato - Medical

Brenda J Kruse - NPI 1780663781

Brenda J Kruse is a Medical in Mankato, Minnesota. Brenda J Kruse practices all healthcare services and medical treatments related to Medical. The NPI Number for Brenda J Kruse is 1780663781. The last update date is 2020-07-10.

Brenda J Kruse's current location address is 1230 E Main St, Mankato, Minnesota. You can contact this provider via phone number 5076251811. The mailing address for Brenda J Kruse is 1230 E Main St, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda J Kruse
Address 1230 E Main St, Mankato, Minnesota
Phone Number 5076251811
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1780663781
Provider Enumeration Date 2006-01-10
Last Updated Date 2020-07-10

Provider Mailing Address Detail

Address 1230 E Main St
City Mankato
State Minnesota (MN)
Post Code 560015066
Phone Number 5076251811
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 9539
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970018304 RR MEDICARE
109920 MN MEDICA
151319 MN UCARE
66B52KR MN BCBS
HP31696 MN HEALTH PARTNERS
1662208 AMERICAS PPO
41084933956001C CHAMPUS
672608900 MN --
NA2951025903 MN PREFERRED ONE

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FAQs about Brenda J Kruse

What is the unique 10-digit identification code issued to Brenda J Kruse by the Centers for Medicare & Medicaid Services?

The Brenda J Kruse has been assigned the NPI (National Provider Identifier) 1780663781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Brenda J Kruse located?

The Brenda J Kruse is located at 1230 E Main St, Mankato, MN 560015066.

What is the Brenda J Kruse's area of specialization and corresponding taxonomy classification?

The Brenda J Kruse's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1780663781 to Brenda J Kruse?

The Brenda J Kruse received its 1780663781 assignment from the Centers for Medicare & Medicaid Services on 2006-01-10.

As of what date were the details related to Brenda J Kruse most recently updated or revised?

The information pertaining to Brenda J Kruse, including its address, specialty, and other relevant details, was last updated or revised on 2020-07-10.

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