Individual
DR. KENT MICHAEL KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MSN, FNP-BC, NPC
Contact information
Practice address
801 W MAIN ST, HEBER SPRINGS, AR 72543-2926
(501) 362-6859
(501) 362-5735
Mailing address
801 W MAIN ST, HEBER SPRINGS, AR 72543-2926
(501) 362-6859
(501) 362-5735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112917718
—
AR
01
—
1569200004
QUALCHOICE ID
AR
01
—
350013492
RAILROAD MEDICARE ID
AR
01
—
4212267467254300
TRICARE
AR
01
—
44-20043
UNITED HEALTHCARE ID
AR
Enumeration date
03/27/2006
Last updated
11/10/2021
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