Individual
DR. KEITH J. CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3501 DUNN RD, SUITE 108, FLORISSANT, MO 63033-6762
(314) 839-0002
(314) 839-5994
Mailing address
3501 DUNN RD, SUITE 108, FLORISSANT, MO 63033-6762
(314) 839-0002
(314) 839-5994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009000182
MO
225100000X
Physical Therapist
8175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509730
—
TN
01
—
4209433
BLUECROSS BLUESHIELD
TN
Enumeration date
09/09/2008
Last updated
03/16/2009
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