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Individual

DR. KENT E KRONOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
GA526
GA
213ER0200X
Radiology Podiatrist
GA526
GA
213ES0000X
Sports Medicine Podiatrist
GA526
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
GA526
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000314564B
GA
01
GA526
STATE LICENSE NUMBER
GA
05
GPO526
SC
Enumeration date
01/16/2007
Last updated
06/25/2008
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