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Kelsey L Krotiak, DPM
Podiatrist in Rockford, Illinois
NPI 1568085710

Kelsey L Krotiak is a Podiatrist based in Marengo, IL. Kelsey L Krotiak practices in Rockford, IL and has the professional credentials of DPM. The NPI Number for Kelsey L Krotiak is 1568085710 and holds a License No. (Illinois).

The current practice location address for Kelsey L Krotiak is 5666 E State St, Rockford, IL and can be reached out via phone at 815-226-2000.

Location: 5666 E State St, Rockford, IL, 60152-9565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568085710
Provider Name
Kelsey L Krotiak
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
5666 E State St, Rockford, IL, 60152-9565
Phone Number
815-226-2000
Fax Number
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5666 E State St
City
Rockford
State
Illinois
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider Business Mailing Address Details
Address
5666 E State St
City
Rockford
State
Illinois
Zip
61108-2425
Phone Number
815-226-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
135.001091 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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