| NPI | 1922201771 |
|---|---|
| Doing Business As | T. KENNETH KRUTKY, MD |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAILLARD Director Finance Business Operation 330-344-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-039773) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |