Provider Demographics
NPI:1871526525
Name:KREHER, SUSAN KAY (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KAY
Last Name:KREHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 48089
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-8089
Mailing Address - Country:US
Mailing Address - Phone:706-548-9111
Mailing Address - Fax:706-548-9224
Practice Address - Street 1:700 SUNSET DR
Practice Address - Street 2:BLDG 300 SUITE 302
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2293
Practice Address - Country:US
Practice Address - Phone:706-548-9111
Practice Address - Fax:706-548-9224
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038831207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00612169CMedicaid
GA731865OtherBLUE CROSS/BLUE SHIELD
60051487OtherRAILROAD MEDICARE
60051487OtherRAILROAD MEDICARE
D98302Medicare UPIN