Kerry A Kroeker, aprn bc fnp gnp
Specialist in Fayette, MO. Individual provider (NPI-1).
NPI number1679697346
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679697346
- Entity type
- Individual (NPI-1)
- Name
- Kerry A Kroeker
- Credential
- aprn bc fnp gnp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 140382 | MO | Yes |
Practice location
600 W Morrison StSuite 5
Fayette, MO 65248-1075
Phone 660-248-2900 · Fax 660-248-1544
Mailing address
600 W Morrison StSuite 5
Fayette, MO 65248-1075
Phone 660-248-2900 · Fax 660-248-1544
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