Individual
JON KROENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3775 45TH AVENUE, COLUMBUS, NE 68601
(402) 564-7200
(402) 564-7210
Mailing address
P O BOX 1066, COLUMBUS, NE 68602
(402) 564-7200
(402) 564-7210
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30105
NE
208000000X
Pediatrics Physician
7239
NE
Other
Enumeration date
06/18/2014
Last updated
01/29/2018
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