# RIVER OAKS OB/GYN ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215387352
- **Authorized official:** MR. VICKI A KRONEMEYER (COO)
- **Authorized official phone:** (574) 295-8805

## Contact information

- **Practice address:** 2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
- **Practice address phone:** (574) 295-8805
- **Practice address fax:** (574) 522-0039
- **Mailing address:** 2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
- **Mailing address phone:** (574) 295-8805
- **Mailing address fax:** (574) 522-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 28142238A | IN | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 02/27/2020