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Individual

MR. RICHARD JAMES KROEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 HARDEE RD, SUITE 103 B, KINSTON, NC 28504
(252) 522-0285
(252) 523-4474
Mailing address
1100 HARDEE RD, SUITE 103 B, 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
05
8950334
NC
Enumeration date
01/18/2007
Last updated
10/24/2007
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