MR. WALTER JOHN KRUG M.A. NPI 1225153158

NPI Information

  • NPI: 1225153158
  • Provider Name: MR. WALTER JOHN KRUG, M.A.
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 3311 BURNT MILL DR
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 251-5817

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NPI Details

MR. Walter John Krug, M.A. is an intellectual and developmental disabilities in Wilmington, NC. MR. Walter John Krug, M.A. NPI is 1225153158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3311 BURNT MILL DR
WILMINGTON, NC
ZIP 28403-654
Phone: (910) 251-5817
Fax: (910) 251-2652

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental Disabilities0590NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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