Individual provider · Type 1 NPI
Keegan Warren Kruckeberg, MD
Student in an Organized Health Care Education/Training Program · Memphis, TN
NPI number
1891540480
Active
Practice location
920 Madison Avenue Suite 447
Memphis, TN 38103
Mailing address
1301 Primacy Pkwy
Memphis, TN 38119-0213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Memphis
- Kevan Bing Harris, MDStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003175977
- David Edward Zimmerhanzel, MDStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003412412
- Fang LiStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003490905
- Danielle SierraStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003499666
- Alexis Noel Harris, MS, MDStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003519349
- Remi T. Parker, MDStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003605858
- Anthonia Adeniji, MD, MBSStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003660002
- Crystan Allane Hawkins, MDStudent in an Organized Health Care Education/Training Program Memphis, TN NPI 1003666306
About NPI 1891540480
Keegan Warren Kruckeberg, MD's National Provider Identifier is 1891540480, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 18, 2024.