Organization
KENDALL L. KRUG, OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL L KRUG O.D. (OWNER/OPTOMETRIST)
(785) 625-3937
Entity
Organization
Contact information
Practice address
2203 CANTERBURY DR, HAYS, KS 67601-2341
(785) 625-3937
(785) 625-7490
Mailing address
2203 CANTERBURY DR, HAYS, KS 67601-2341
(785) 625-3937
(785) 625-7490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650558
BLUECROSSBLUESHIELD
KS
01
—
DC3867
RAILROAD MEDICARE
—
Enumeration date
09/16/2005
Last updated
11/10/2008
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