Kenin Krieger, Llc | |
533 E Chambers Pike Bloomington IN 47404-8005 | |
(812) 947-3316 | |
Not Available |
Full Name | Kenin Krieger, Llc |
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Speciality | Clinic/Center |
Location | 533 E Chambers Pike, Bloomington, Indiana |
Authorized Official Name and Position | Kenin Krieger (PSYCHOLOGIST) |
Authorized Official Contact | 8123306229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kenin Krieger, Llc 533 E Chambers Pike Bloomington IN 47404-8005 Ph: (812) 947-3316 | Kenin Krieger, Llc 533 E Chambers Pike Bloomington IN 47404-8005 Ph: (812) 947-3316 |
NPI Number | 1760234306 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 08/14/2024 |
Certification Date | 08/14/2024 |
Medicare PECOS PAC ID | 5799226916 |
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Medicare Enrollment ID | O20240916001140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760234306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kenin Krieger |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1760661896 PECOS PAC ID: 6204914823 Enrollment ID: I20240916001211 |
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