Kenneth R. Krueger in San Antonio - Periodontics
Kenneth R. Krueger - NPI 1134132269
Kenneth R. Krueger is a Periodontics in San Antonio, Texas. Kenneth R. Krueger practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth R. Krueger is 1134132269. The last update date is 2007-07-08.
Kenneth R. Krueger's current location address is 4118 Mccullough Ave Ste 4, San Antonio, Texas. You can contact this provider via phone number 2108263946 and fax number 2108266733. The mailing address for Kenneth R. Krueger is 4118 Mccullough Ave Ste 4, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R. Krueger |
|---|---|
| Address | 4118 Mccullough Ave Ste 4, San Antonio, Texas |
| Phone Number | 2108263946 |
| Fax Number | 2108266733 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134132269 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4118 Mccullough Ave Ste 4 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782121905 |
| Phone Number | 2108263946 |
| Fax Number | 2108266733 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 11753 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Kenneth R. Krueger by the Centers for Medicare & Medicaid Services?
The Kenneth R. Krueger has been assigned the NPI (National Provider Identifier) 1134132269. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth R. Krueger's facilities are geographically located?
The facilities of Kenneth R. Krueger are physically situated at the following location: 4118 Mccullough Ave Ste 4, San Antonio, TX, 782121905.
What is Kenneth R. Krueger's area of expertise and its corresponding taxonomy classification?
The Kenneth R. Krueger's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1134132269 to Kenneth R. Krueger?
The Kenneth R. Krueger received its 1134132269 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date was the information pertaining to Kenneth R. Krueger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth R. Krueger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1407848211
Address: 4511 N Davis Hwy, Pensacola, FL