Basic Information
| Provider Information | |||||||||
| NPI: | 1215986856 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRIEGER | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 CHESHIRE PKWY N | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554464103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7632684115 | ||||||||
| FaxNumber: | 7632684430 | ||||||||
| Practice Location | |||||||||
| Address1: | 1776 S QUEEN ST | ||||||||
| Address2: | STE C | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174034628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178456903 | ||||||||
| FaxNumber: | 7178451355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 08/25/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AT000113L | PA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.