Individual
KEVIN SCOTT KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 375-3815
Mailing address
12441 WILLOW BND, ELIZABETHTOWN, IN 47232-9352
(812) 341-8034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2201580A
IN
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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