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Individual
KENNETH JOHN KRUG
Active
Individual
KENNETH JOHN KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CWS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020453-1
NY
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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