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Individual

JOEL IVAN KRONENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
806 ESTATE PL, MEMPHIS, TN 38120-0600
(901) 767-3620
(901) 683-0285
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD09579
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00012781
MS
01
6013650
BCBS
TN
05
Q005882
TN
Enumeration date
11/16/2006
Last updated
10/14/2024
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