Individual provider · Type 1 NPI
Kelly Reid-Krueger, CP
Prosthetic/Orthotic Supplier · Gurnee, IL
Practice location
6475 Washington St Ste 100
Gurnee, IL 60031-4404
Fax (847) 855-0090
Mailing address
408 E Washington St
Butler, IN 46721-1179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Another provider at this address
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About NPI 1366974206
Kelly Reid-Krueger, CP's National Provider Identifier is 1366974206, issued on Mar 30, 2017. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Gurnee, IL. The record was last updated on Jul 2, 2019.