Krenning, Judyann
Krenning, Judyann is an individual health care provider with primary practice located at 600 Blues Lake Pkwy , Rolla MO 65401-8022. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Krenning, Judyann can be contacted via phone (573) 364-8822.Contact Information
Primary practice address
600 Blues Lake Pkwy
Rolla MO 65401-8022
Phone: (573) 364-8822
Fax: (573) 341-5969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 114610 | Missouri |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 114610 | Missouri |
Profile Details
| NPI number | 1225058167 |
|---|---|
| LBN Legal business name | Krenning, Judyann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225058167 | NPPES |
| Missouri | MEDICAID | 209748516 | |
| Missouri | Other | 3347A1 | |
| Missouri | Other | 383115 | |
| Missouri | Other | P00071667 |
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