NPI 1023851565

Benjamin Thomas Kruk, INDEPENDENTDUTYCOR

Practitioner Paramedic Apo, AA

Practice location

Address: 34101 Farenholt Ave Building 14, Apo, AA 92124
Phone: (702) 960-2719
Mailing address: 3504 Kelsey St, San Diego, CA 92124-3516

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X

Other Emergency Medical Technician, Paramedic providers in Armed Forces Americas →

Registry record

NPI: 1023851565
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.