Provider Demographics
NPI:1215217484
Name:KROEGER, JOSIE FRANCES (APRN)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:FRANCES
Last Name:KROEGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5496 MEADOW GROVE DR
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-8387
Mailing Address - Country:US
Mailing Address - Phone:270-903-8678
Mailing Address - Fax:
Practice Address - Street 1:1102 TRIPLETT ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-3104
Practice Address - Country:US
Practice Address - Phone:270-926-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily