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Individual

DR. KYLE R. KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
15810 S HARLAN RD, STE. A, LATHROP, CA 95330-8719
(209) 983-9000
(209) 983-9001
Mailing address
15810 S HARLAN RD, STE. A, LATHROP, CA 95330-8719
(209) 983-9000
(209) 983-9001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A6303
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20A6303
CA
Enumeration date
07/12/2006
Last updated
02/05/2014
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