Kroll, Jeffery D.

Kroll, Jeffery D. is an individual health care provider with primary practice located at 1905 Sw H K Dodgen Loop , Temple TX 76502-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kroll, Jeffery D. can be contacted via phone (254) 298-2682.

Contact Information

Primary practice address
1905 Sw H K Dodgen Loop Temple TX 76502-1814
Phone: (254) 298-2682
Fax: (254) 778-7197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H0537 Texas

Profile Details

NPI number 1073509188
LBN Legal business name Kroll, Jeffery D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073509188 NPPES
Texas MEDICAID 123033604

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