DR. Kenneth Edward Kruczek, D.O

NPI #1306849419 in Lubbock, Texas

Provider Information

NPI Number
1306849419
Entity Type
Individual
Name
DR. Kenneth Edward Kruczek, D.O
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
D.O
Enumeration Date
May 23, 2005
Last Updated
Oct 17, 2011

Practice Location

Address
3506 21ST ST
Address 2
SUITE 605
State
Texas
ZIP Code
79410-1212
Phone
(806) 725-4130

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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