Provider Demographics
NPI:1942582846
Name:KROGER, DANIEL (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:KROGER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8969 FRANKLIN TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-3938
Mailing Address - Country:US
Mailing Address - Phone:937-361-5864
Mailing Address - Fax:
Practice Address - Street 1:8969 FRANKLIN TRENTON RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-3938
Practice Address - Country:US
Practice Address - Phone:937-361-5864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.130991IV164W00000X
OHRN.380050163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse