Individual
MR. BYRON L KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1735
(661) 615-6150
(661) 615-6151
Mailing address
1201 23RD ST, BAKERSFIELD, CA 93301-2306
(661) 327-4357
(661) 327-2311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT198871
MEDICARE INDIVIDUAL PTAN
CA
01
—
P00077627
RAILROAD MEDICARE PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/16/2005
Last updated
02/15/2010
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