Provider Demographics
NPI:1386360295
Name:KRUEGER, KYLA MAREE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KYLA
Middle Name:MAREE
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KYLA
Other - Middle Name:MAREE
Other - Last Name:MONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:419 PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523-9726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:419 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523-9726
Practice Address - Country:US
Practice Address - Phone:406-357-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY52034363LF0000X
MT239186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily