| Doctor Name: | MS. KATHLEEN MARY KRUEGER |
| NPI Number: | 1134229255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 22002620 |
| Business Practice Address: | 2095 Jenkins Court Indianapolis, IN - 462801570 |
| Business Phone Number: | 3178439611 |
| Business Fax Number: | |
| Mailing Address: | 1481 West 10th Street, Dept 126 INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462022884 |
| Phone Number: | 3179882613 |
| Fax Number: | 3179882480 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 22002620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |