Doctor Name: | MS. KIMBERLY B KRUEGER |
NPI Number: | 1326188632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | C002362 |
Business Practice Address: | 903 Northeast Dr Ste 201 Davidson, NC - 280367438 |
Business Phone Number: | 7048967776 |
Business Fax Number: | 7048960992 |
Mailing Address: | 903 Northeast Dr Ste 201, DAVIDSON |
State: | NC |
Postal Code: | 280367438 |
Phone Number: | 7048967776 |
Fax Number: | 7048960992 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C002362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |