Individual
KIMBERLY CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 942-0511
(541) 942-0353
Mailing address
PO BOX 569, EUGENE, OR 97440-0569
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD20308
OR
207Q00000X
Family Medicine Physician
MD20308
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084736
—
OR
Enumeration date
06/20/2006
Last updated
11/03/2010
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