Individual
KELLY REID-KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
6475 WASHINGTON ST STE 100, GURNEE, IL 60031-4404
(847) 855-0030
(847) 855-0090
Mailing address
408 E WASHINGTON ST, BUTLER, IN 46721-1179
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
07/02/2019
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