MRS. KELLY ANN KRUGER
NPI 1740524743
Private Vehicle in Kinsman, IL

Active since November 15, 2012
6605 S KINSMAN RD, KINSMAN, IL 60437(815) 791-3996 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Private Vehicle

About KELLY KRUGER

This page provides the complete NPI Profile along with additional information for Kelly Kruger, a provider established in Kinsman, Illinois with a medical specialization in Private Vehicle. The healthcare provider is registered in the NPI registry with number 1740524743 assigned on November 2012. The practitioner's primary taxonomy code is 347C00000X with license number K626-5017-8863 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1740524743 Verify this NPI
Provider Name
MRS. KELLY ANN KRUGER
Gender
Female
Entity Type
Individual
Location Address
6605 S KINSMAN RD KINSMAN, IL 60437
Location Phone
(815) 791-3996
Mailing Address
6605 S KINSMAN RD PO BOX 781 KINSMAN, IL 60437
Mailing Phone
(815) 791-3996
Is Sole Proprietor?
Yes
Enumeration Date
11-15-2012
Last Update Date
11-15-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Private Vehicle

Taxonomy Code
347C00000X
Type
Transportation Services
License No.
K626-5017-8863
License State
IL
Taxonomy Description
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1347C00000XTransportation Services

Private Vehicle

K626-5197-8080 (IL)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740524743, enumerated as an "individual" on November 15, 2012.

The provider is located at 6605 S KINSMAN RD KINSMAN, IL 60437 and the phone number is (815) 791-3996.

Private Vehicle with taxonomy code 347C00000X.