Individual
KERRY A KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC FNP GNP
Contact information
Practice address
600 W MORRISON ST, SUITE 5, FAYETTE, MO 65248-1075
(660) 248-2900
(660) 248-1544
Mailing address
600 W MORRISON ST, SUITE 5, FAYETTE, MO 65248-1075
(660) 248-2900
(660) 248-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
140382
MO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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