Individual
JUSTIN J KRUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 RODEO DRIVE, ERLANGER, KY 41018
(513) 354-3700
(513) 354-3705
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
40993
KY
208VP0000X
Pain Medicine Physician
35168
AZ
208VP0014X
Interventional Pain Medicine Physician
40993
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
77401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100037780
—
KY
Enumeration date
05/01/2006
Last updated
11/10/2021
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