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General NPI Number Information
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NPI Number | 1992509665
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Entity Type | Organization
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Legal Business Name | KR WELLNESS SOLUTIONS PA
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2400 HIGHWAY 365 STE 108
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City | NEDERLAND
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State | TX
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Zip | 77627-6268
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Country | US
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Telephone | 409-920-4037
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 FARM TO MARKET ROAD 365 540
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City | NEDERLAND
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State | TX
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Zip | 77627-6270
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Country | US
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Telephone | 409-724-3053
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Fax | 409-724-3053
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRISTOPHER DELA CRUZ
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Credential | MD
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Telephone | 409-527-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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