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Individual

KEVIN KRUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1155 LANCASTER ST, PLATTEVILLE, WI 53818-1135
(715) 213-3936
Mailing address
1155 LANCASTER ST, PLATTEVILLE, WI 53818-1135
(715) 213-3936

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35027800
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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