Individual
JENNIFER LYNN KROG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 E 3RD ST, SSB6, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371971
AMERICA'S PPO (ARAZ)
—
01
—
432M8CA
BCBS
MN
Enumeration date
07/13/2006
Last updated
10/26/2023
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