Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 51335 | CO |
N | 207Q00000X | Family Doctor | LL1173 | SC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 148909 | CO |
NPI | 1811158918 |
---|---|
Provider Name | April L Krutka |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Grand Junction, CO 81506-8723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68450079 | (05) | CO |