Kraig Krueger Jenson in Provo - Specialist
Kraig Krueger Jenson - NPI 1922099324
Kraig Krueger Jenson is a Specialist in Provo, Utah. Kraig Krueger Jenson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kraig Krueger Jenson is 1922099324. The last update date is 2008-01-04.
Kraig Krueger Jenson's current location address is 3408 N Cottonwood Ln, Provo, Utah. You can contact this provider via phone number 8013734854 and fax number 8012242667. The mailing address for Kraig Krueger Jenson is 3408 N Cottonwood Ln, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kraig Krueger Jenson |
|---|---|
| Address | 3408 N Cottonwood Ln, Provo, Utah |
| Phone Number | 8013734854 |
| Fax Number | 8012242667 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922099324 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 3408 N Cottonwood Ln |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846047402 |
| Phone Number | 8013734854 |
| Fax Number | 8012242667 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 164938-1205 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identification code assigned to Kraig Krueger Jenson by the Centers for Medicare & Medicaid Services?
The Kraig Krueger Jenson has been issued the NPI (National Provider Identifier) 1922099324. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kraig Krueger Jenson?
The Kraig Krueger Jenson is situated at 3408 N Cottonwood Ln, in the city of Provo, state of UT, with the zip code 846047402.
What is Kraig Krueger Jenson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kraig Krueger Jenson is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did Kraig Krueger Jenson receive its 1922099324 assignment?
The Kraig Krueger Jenson was assigned its 1922099324 on 2005-11-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kraig Krueger Jenson most recently updated or revised?
The details related to Kraig Krueger Jenson, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-04.