Individual
KEVIN KRUGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 736-2934
Mailing address
2876 LONGFELLOW PL APT 251, EUGENE, OR 97408-7465
(720) 317-5902
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2021-00685
NC
208800000X
Urology Physician
Primary
MD209558
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD209558
OREGON MEDICAL BOARD
OR
Enumeration date
03/25/2016
Last updated
09/28/2022
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