Individual
DR. KENDALL L KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2203 CANTERBURY DR, HAYS, KS 67601-2341
(785) 625-3937
(785) 625-7490
Mailing address
2203 CANTERBURY DR, HAYS, KS 67601-2341
(785) 625-3937
(785) 625-7490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1223-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220230D
—
KS
01
—
1158030001
DMERC
KS
01
—
410036068
RAILROAD MEDICARE
—
Enumeration date
09/16/2005
Last updated
07/01/2014
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