Kenneth John Krug
Physical Therapist
8712 Park Dr
Hamburg
, New York 14075-7322
Kenneth John Krug
Physical Therapist
8712 Park Dr
Hamburg
, New York 14075-7322
(716) 202-4512
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Kenneth John Krug
- 8712 Park Dr
- Hamburg, NY
- Zip : 14075-7322
- Fax : (716) 202-4512
- Phone : (716) 903-6401
Second Address
- Kenneth John Krug
- 8712 Park Dr
- Hamburg, NY
- Zip : 14075-7322
- Fax : (716) 202-4512
- Phone : (716) 903-6401
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 020453-1 | NY |
National Provider Identifier
| NPI | 1003125170 |
|---|---|
| Provider Name | Kenneth John Krug |
| First Address | Hamburg, NY 14075-7322 |
| Second Address | Hamburg, NY 14075-7322 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2010 |
| Last Update Date | 06/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.