Healthcare Provider Details

I. General information

NPI: 1891395729
Provider Name (Legal Business Name): ALLISON KRUG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 07/12/2025
Certification Date: 07/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVENUE BUILDING 5, 6B
SAN FRANCISCO CA
94110
US

IV. Provider business mailing address

250 E 87TH ST APT 8G
NEW YORK NY
10128-3119
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-5270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: