Individual
SARA E KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 242-9889
(785) 229-8447
Mailing address
PO BOX 460, OTTAWA, KS 66067-0460
(785) 229-3367
(785) 229-8461
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0532524
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106528
BLUE CROSS BLUE SHIELD
KS
05
—
200429600A
—
KS
Enumeration date
01/20/2006
Last updated
06/13/2014
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