Individual
KRISTINE J KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST, SUITE 310, LOUISVILLE, KY 40202-5700
(502) 584-8563
(502) 562-6196
Mailing address
PO BOX 909, SUITE 220, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33868
KY
207RG0100X
Gastroenterology Physician
Primary
33868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64338684
—
KY
Enumeration date
08/24/2005
Last updated
02/14/2017
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