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General NPI Number Information
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NPI Number | 1154372423
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Entity Type | Individual
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Provider Name | KEVIN R. KROEGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | ONE MEDICAL CENTER DRIVE
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City | FRANKLIN
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State | OH
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Zip | 45005-1066
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Country | US
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Telephone | 513-420-5755
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Fax | 513-705-4759
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Provider Business Mailing Address
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Address Line | 2591 MIAMISBURG CENTERVILLE ROAD SUITE 302
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City | DAYTON
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State | OH
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Zip | 45459-3706
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Country | US
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Telephone | 937-433-7622
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Fax | 937-433-7656
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD210003101
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G85712
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License Number State | CA
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