Individual
MS. JENNIFER A KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-5101
(406) 363-7652
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 375-4823
(406) 375-4846
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
57
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285686568
—
ID
05
—
4303689
—
MT
Enumeration date
05/16/2006
Last updated
11/05/2015
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