BENJAMIN THOMAS KRUK INDEPENDENT DUTY COR
NPI 1023851565
Emergency Medical Technician, Paramedic in Apo, AA

Active since June 13, 2024
34101 FARENHOLT AVE, BUILDING 14, APO, AA 92124(702) 960-2719 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Thomas Kruk Independent Duty Cor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN THOMAS KRUK INDEPENDENT DUTY COR (NPI 1023851565) is an individual emergency medical technician, paramedic in Apo, AA and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1023851565
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameBENJAMIN THOMAS KRUKCredential: INDEPENDENT DUTY COR
Location Address34101 FARENHOLT AVE, BUILDING 14Apo, AA 92124
Mailing Address3504 Kelsey StSan Diego, CA 92124-3516 · (702) 960-2719
Sole ProprietorYes
Enumeration DateJune 13, 2024
NPPES CertifiedJune 6, 2024
NPI 1023851565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
34101 FARENHOLT AVE, Apo, AA 92124

Other Names 1

Professional Name (2)Benjamin Thomas Kruk Independent Duty Cor

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Kruk's NPI number?

The NPI number for Benjamin Kruk is 1023851565. It was assigned to this individual provider in the NPPES registry on June 13, 2024. The provider is also known as Benjamin Thomas Kruk Independent Duty Cor.

Where is Benjamin Kruk located?

Benjamin Kruk practices at 34101 Farenholt Ave Building 14, Apo, AA 92124. The listed phone number is (702) 960-2719.

What is Benjamin Kruk's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Kruk was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.