Individual
GERALD F KRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17601 B HWY, BOONVILLE, MO 65233-2839
(660) 882-5616
(816) 882-7073
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD30446
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10304
BLUE SHIELD/BLUE CHOICE
MO
01
—
104194
UNITED HEALTHCARE
MO
01
—
107965
HEALTHLINK
MO
01
—
20030144
RR MEDICARE
MO
Enumeration date
05/26/2006
Last updated
07/08/2007
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