Individual
KELLY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
18432 KENRICK AVE, LAKEVILLE, MN 55044-9288
(952) 993-8800
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1610305
MN
Other
Enumeration date
10/20/2011
Last updated
11/15/2016
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