Individual
STEPHANIE KRUEGER-MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 638685, CINCINNATI, OH 45263-8685
(877) 882-5644
(833) 643-8146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1612
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100225590
—
KY
Enumeration date
10/13/2010
Last updated
04/03/2025
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