Individual provider · Type 1 NPI

Kelsey Donnette Kruckeberg, APRN-CNP

Family Nurse Practitioner · Tulsa, OK

NPI number 1356994974 Active

Practice location

8115 S Memorial Dr
Tulsa, OK 74133-4331

Mailing address

11528 S Mulberry Ln
Jenks, OK 74037-2123

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR0114800 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1356994974

Kelsey Donnette Kruckeberg, APRN-CNP's National Provider Identifier is 1356994974, issued on Jul 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 23, 2019.