Individual
DR. SAMUEL DUANE KREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
272 LONDON MOUNTAIN VIEW DR STE 3, LONDON, KY 40741-6601
(606) 877-2850
(606) 877-2857
Mailing address
272 LONDON MOUNTAIN VIEW DR # NA, LONDON, KY 40741-6601
(606) 877-2850
(606) 877-2857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37696
KY
207Q00000X
Family Medicine Physician
MD0000037275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64067051
—
KY
05
—
65944589
—
KY
01
—
9927
MEDICARE GROUP NUMBER
KY
01
—
C92392
CHI PROVIDER NUMBER
—
01
—
DE2149
RAILROAD MEDICARE NUMBER
KY
Enumeration date
05/12/2006
Last updated
09/17/2019
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