MEDICARE: KRISTIN LYNN KRUGER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5468	MN

General Provider Information

NPI Number	:	1962706028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN LYNN KRUGER D.C.

Provider Business Mailing Address
First Line	:	639 RYANS WAY
Second Line	:	#201
City	:	BUFFALO
State	:	MN
Zip	:	55313-4527
Country	:	US
Telephone Number	:	763-258-3189
Fax Number	:	763-201-5848

Provider Business Practice Location Address
First Line	:	701 HWY 55 E
Second Line	:	SUITE A
City	:	BUFFALO
State	:	MN
Zip	:	55313-4527
Country	:	US
Telephone Number	:	763-600-8355
Fax Number	:	763-201-5848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2011
Last Update Date	:	07/03/2025

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