Individual
HEATHER G KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 HOSPITAL DR, STE 5D, HENDERSONVILLE, NC 28792-5248
(828) 650-8032
(828) 650-8033
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16412
SC
208000000X
Pediatrics Physician
Primary
200800947
NC
208M00000X
Hospitalist Physician
200800947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151K1
BCBS NC
NC
01
—
16412
SC MEDICAL LIC #
SC
05
—
5909690
—
NC
01
—
P01376870
MEDICARE RR
NC
Enumeration date
05/20/2006
Last updated
10/25/2016
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