Organization
KINSTON DIGESTIVE DISEASES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JAMES KROEGER MD (OWNER)
(252) 522-0285
Entity
Organization
Contact information
Practice address
1100 HARDEE RD, SUITE 103B, KINSTON, NC 28504
(252) 522-0285
(252) 523-4474
Mailing address
1100 HARDEE RD, SUITE 103B, KINSTON, NC 28504
(252) 522-0285
(252) 523-4474
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01983
BCBS
NC
01
—
50334
BCBS
NC
05
—
8950334
—
NC
Enumeration date
02/01/2007
Last updated
08/22/2020
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