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Organization
N. O. KRONFOL, M. D., P. A.
Active
Organization
N. O. KRONFOL, M. D., P. A.
Active
Other names
NW Mississippi Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA THOMAS HEARN (MANAGER)
(662) 335-4105
Entity
Organization
Contact information
Practice address
1997 S. MEDICAL PARK DRIVE, GREENVILLE, MS 38703-7268
(662) 335-4105
(662) 378-2879
Mailing address
1997 S. MEDICAL PARK DRIVE, GREENVILLE, MS 38703-7268
(662) 335-4105
(662) 378-2879
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
11536
MS
207RN0300X
Nephrology Physician
22233
MS
207RN0300X
Nephrology Physician
Primary
22784
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014144
—
MS
Enumeration date
07/02/2006
Last updated
01/29/2014
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