Individual
CALVIN L KRUGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-7415
(620) 672-7414
Mailing address
420 COUNTRY CLUB RD, PRATT, KS 67124-3125
(620) 672-7415
(620) 672-7414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500632
KS
363AM0700X
Medical Physician Assistant
15-00632
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088840B
—
KS
05
—
2050536901
—
KS
Enumeration date
06/09/2006
Last updated
03/24/2023
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