Individual
DR. WAYNE W KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1310 ALFORD AVE, SUITE 201, BIRMINGHAM, AL 35226-3199
(205) 979-6822
(205) 979-6246
Mailing address
1310 ALFORD AVE, SUITE 201, BIRMINGHAM, AL 35226-3199
(205) 979-6822
(205) 979-6246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
379
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R76438
BCBS PROVIDER NUMBER
AL
Enumeration date
10/06/2006
Last updated
07/08/2007
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