Kimberly Ann Krueger
Kimberly Ann Krueger is a Prosthetic/Orthotic Supplier in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
407 Main StLewiston, ID 83501-6800
Phone: (208) 790-0303
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence OAN29FSQCC (ID) |
|---|
Record details
| NPI number | 1194550053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 2, 2024 |
| Last updated in NPPES | September 2, 2024 |
| Certification date | September 2, 2024 |
| Mailing address | 407 Main St, Lewiston, ID 83501-6800 |
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