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General NPI Number Information
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NPI Number | 1083648075
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Entity Type | Individual
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Provider Name | AMY K. KRIE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 800 E 28TH ST STE 404
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-3723
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Country | US
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Telephone | 612-863-0200
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Fax | 612-863-0235
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Provider Business Mailing Address
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Address Line | PO BOX 43
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City | MINNEAPOLIS
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State | MN
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Zip | 55440-0043
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Country | US
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Telephone | 612-863-0200
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Fax | 612-262-4258
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 5837
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License Number State | SD
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