Individual
GRETCHEN L KRONENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9030 W FORT ISLAND TRL STE 1, CRYSTAL RIVER, FL 34429-8011
(352) 228-8906
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9104147
FL
363AM0700X
Medical Physician Assistant
055-0030753
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000725800
—
FL
05
—
9000245
—
VT
Enumeration date
03/17/2006
Last updated
07/15/2019
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