National Provider Identifier

Kenneth John Krug, DPT, CWS

Kenneth John Krug, DPT, CWS is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 903-6401.

NPI 1003125170Hamburg, NYPhysical Therapist

Profile Overview

NPI
1003125170
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 06, 2010
Last Updated
October 06, 2010

Practice Location

  • 8712 Park Dr
  • Hamburg, NY 14075-7322

Phone: (716) 903-6401

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1003125170
Entity Type
Individual
Last Name
Krug
First Name
Kenneth
Middle Name
John
Credential
DPT, CWS
Mailing Street Address
8712 Park Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-7322
Mailing Country
US
Mailing Phone
(716) 903-6401
Mailing Fax
(716) 202-4512
Practice Street Address
8712 Park Dr
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-7322
Practice Country
US
Practice Phone
(716) 903-6401
Practice Fax
(716) 202-4512
Enumeration Date
October 06, 2010
Last Updated
October 06, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)