KELLY ANN KRUGER
NPI 1558086272
Licensed Psychiatric Technician in San Francisco, CA

Q: What is Kelly Kruger's NPI number?

The NPI number for Kelly Kruger is 1558086272. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Kelly Kruger's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kruger was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2022

368 FELL ST, SAN FRANCISCO, CA 94102(415) 861-0828(415) 861-0140 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Ann Kruger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN KRUGER (NPI 1558086272) is an individual licensed psychiatric technician in San Francisco, California, licensed in California (24862) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1558086272

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameKELLY ANN KRUGER

Location Address368 FELL STSan Francisco, CA 94102-5144

Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0140

Phone(415) 861-0828

Fax(415) 861-0140

Sole ProprietorNo

Enumeration DateOctober 5, 2022

NPPES CertifiedOctober 5, 2022

✔ NPI 1558086272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 24862

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

368 FELL ST, San Francisco, CA 94102

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS C PARISH

Counselor