Dr Kelly M Kruk, DO, DA is a
Ophthalmology based in Saint Simons Island, Georgia. Dr Kelly M Kruk is licensed to practice in New York (license number 271534) and her current practice location is
10 Fern Ln, Saint Simons Island, Georgia. She can be reached at her office (for appointments etc.) via phone at
(304) 716-1912.
NPI number for Dr Kelly M Kruk is 1285682435 and her current mailing address is 10 Fern Ln, Saint Simons Island, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285682435.
Healthcare Provider's Profile
Full Name | Dr Kelly M Kruk |
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Gender | Female |
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Speciality | Ophthalmology |
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Location | 10 Fern Ln, Saint Simons Island, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285682435
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 08/21/2020
Medical Identifiers
Medical identifiers for Dr Kelly M Kruk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285682435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | DA00245 (Rhode Island) | Secondary |
207W00000X | Ophthalmology | 271534 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly M Kruk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kelly M Kruk, DO, DA 10 Fern Ln, Saint Simons Island, GA 31522-2700 Ph: (304) 716-1912 | Dr Kelly M Kruk, DO, DA 10 Fern Ln, Saint Simons Island, GA 31522-2700 Ph: (304) 716-1912 |
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