Organization Active NPI

T Kenneth Krutky MD Inc

  • Internal Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1497998678
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
T KENNETH KRUTKY MD INC
Practice address
802 Graham Rd
Cuyahoga Falls, OH 44221-1049
Phone
(330) 929-4221
Fax
(330) 929-7517
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. T Kenneth Krutky, MD
Title
Owner
Phone
(330) 929-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

802 Graham Rd
Cuyahoga Falls, OH 44221-1049

Mailing address

PO Box 26125
Akron, OH 44319-6125
Phone (330) 493-9004

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1497998678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26125",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443196125",
            "telephone_number": "330-493-9004",
            "fax_number": "330-493-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211049",
            "telephone_number": "330-929-4221",
            "fax_number": "330-929-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T KENNETH KRUTKY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "KRUTKY",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-929-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.