Individual
KIMBERLY ROACH KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 FAIRTY DR, NEW CANAAN, CT 06840-6240
(203) 650-7507
Mailing address
17 FAIRTY DR, NEW CANAAN, CT 06840-6240
(203) 650-7507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001212
CT
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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