Individual
MRS. SUZANNE MARY KREGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 905-3070
(859) 441-1348
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 305-3070
(859) 441-1348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009763
KY
363L00000X
Nurse Practitioner
71007969A
IN
363LF0000X
Family Nurse Practitioner
3009763
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170102
—
OH
05
—
7100420010
—
KY
01
—
P01677801
RR MEDICARE
KY
Enumeration date
02/25/2016
Last updated
03/04/2025
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