Krysalis

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KRYSALIS

Practice address

13607 Pine Villa Lane
Fort Myers, FL 33912

Phone

(239) 476-2549

NPI assigned

Nov 27, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie L Meyer

Title

President

Phone

(239) 476-2549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1720419880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 PINE VILLA LANE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 PINE VILLA LANE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-476-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSALIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-476-2549"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne G. Krouk, DO
• Norman Kruedelbach, PHD
• Loren Krumbholz, CRNA
• Antoinette Kruse, MSW
• Krushen Inc
• Jamal Samih Ksar, MD
• Subhash Kshetrapal, M.D.
• Jacquelynn Marie Kubay, ARNP,NP-C
• Kuhn Family Chiropractic LLC
• Alexander Kuhn, D.C.

• Hospitalist Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Hospitalist Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.