Individual
KIM B KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
(218) 529-9120
Mailing address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
(218) 529-9120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40736
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-17519
MEDICA
—
05
—
34530200
—
WI
01
—
445T5KR
BCBSMN
MN
01
—
CN1041024845
PREFERRED ONE
—
01
—
CO26
TRICARE WEST
—
01
—
HP30509
HEALTHPARTNERS
—
Enumeration date
10/27/2005
Last updated
07/08/2007
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