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General NPI Number Information
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NPI Number | 1649129693
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Entity Type | Individual
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Provider Name | KELLI KRUID PT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 2401 CRESTVIEW DR
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City | OSKALOOSA
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State | IA
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Zip | 52577-9700
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Country | US
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Telephone | 515-225-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 220TH ST
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City | PELLA
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State | IA
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Zip | 50219-8067
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Country | US
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Telephone | 641-780-1393
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 03369
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License Number State | IA
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