# WAYNE SPORT AND SPINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376851212
- **Authorized official:** DR. ROBERT KEVIN KRUGMAN D.C. (CHIROPRACTOR)
- **Authorized official phone:** (402) 375-3000

## Contact information

- **Practice address:** 214 N PEARL ST, WAYNE, NE 68787-1902
- **Practice address phone:** (402) 375-3000
- **Practice address fax:** (402) 375-1866
- **Mailing address:** 214 N PEARL ST, WAYNE, NE 68787-1902
- **Mailing address phone:** (402) 375-3000
- **Mailing address fax:** (402) 375-1866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1065 | NE | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 09/14/2010