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Mrs. Kelly Ann Kruger
Private Vehicle in Kinsman, Illinois
NPI 1740524743

Kelly Ann Kruger is a Private Vehicle based in Kinsman, IL. Kelly Ann Kruger practices in Kinsman, IL. The NPI Number for Kelly Ann Kruger is 1740524743 and holds a License No. K626-5017-8863 (Illinois).

The current practice location address for Kelly Ann Kruger is 6605 S Kinsman Rd, Kinsman, IL and can be reached out via phone at 815-791-3996.

Location: 6605 S Kinsman Rd, Kinsman, IL, 60437-4027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740524743
Provider Name
Kelly Ann Kruger
Credential
Provider Entity Type
Individual
Gender
Female
Address
6605 S Kinsman Rd, Kinsman, IL, 60437-4027
Phone Number
815-791-3996
Fax Number
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6605 S Kinsman Rd
City
Kinsman
State
Illinois
Zip
60437-4027
Phone Number
815-791-3996
Fax Number
person
Provider Business Mailing Address Details
Address
6605 S Kinsman Rd
City
Kinsman
State
Illinois
Zip
60437-4027
Phone Number
815-791-3996
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
K626-5017-8863 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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