NPI 1194550053

Kimberly Ann Krueger

Practitioner Prosthetic/Orthotic Supplier Lewiston, ID

Practice location

Address: 407 Main St, Lewiston, ID 83501-6800
Phone: (208) 790-0303

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence OAN29FSQCC (ID)

Other Prosthetic/Orthotic Supplier providers in Idaho →

Registry record

NPI: 1194550053
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2024
Record last updated: 2 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.