Provider Demographics
NPI:1508196593
Name:KROEKER, KRISTIN JOY
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:JOY
Last Name:KROEKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 E 22ND ST N BLDG 2300-3
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2306
Mailing Address - Country:US
Mailing Address - Phone:316-305-5000
Mailing Address - Fax:
Practice Address - Street 1:8100 E 22ND ST N BLDG 2300-3
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2306
Practice Address - Country:US
Practice Address - Phone:316-305-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health