Individual
KENNETH JAMES KROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11815 EDUCATION STREET, AUBURN, CA 95602-2410
(530) 888-4500
Mailing address
2100 POWELL ST, SUITE 920, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G73864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G738640
—
CA
Enumeration date
08/25/2006
Last updated
03/22/2011
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