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Contact Information

KIMBERLY A KRUEGER
407 MAIN ST
LEWISTON, ID83501-6800
 Phone: 208-790-0303
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for KIMBERLY A KRUEGER · (Female)

NPI Number 1194550053
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2024
Last updated 09/02/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ID License # OAN29FSQCC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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