| Doctor Name: | DUANE KRESGE |
| NPI Number: | 1104918887 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 300072 |
| Business Practice Address: | 134 Elon Rd Madison Heights, VA - 245722536 |
| Business Phone Number: | 4344552480 |
| Business Fax Number: | 4344552487 |
| Mailing Address: | 134 Elon Rd, MADISON HEIGHTS |
| State: | VA |
| Postal Code: | 245722536 |
| Phone Number: | 4344552480 |
| Fax Number: | 4344552487 |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 300072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |