Individual
SPENCER GRAHAM KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 648-8215
Mailing address
413 N GATEWAY ST, WICHITA, KS 67230-7909
(316) 648-8215
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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