Individual provider · Type 1 NPI
Kelly Ann Kruger
Private Vehicle · Kinsman, IL
NPI number
1740524743
Active
Practice location
6605 S Kinsman Rd
Kinsman, IL 60437-4027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | K626-5017-8863 (IL) |
| Private Vehicle | 347C00000X | K626-5197-8080 (IL) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1740524743
Kelly Ann Kruger's National Provider Identifier is 1740524743, issued on Nov 15, 2012. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Kinsman, IL. The record was last updated on Nov 15, 2012.