Organization
RCG OF LAKE VILLAGE, LLC
Active
Organization
RCG OF LAKE VILLAGE, LLC
Active
Other names
RCG LAKE VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
NED O KRONFOL M.D. (OWNER)
(662) 335-4105
Entity
Organization
Contact information
Practice address
505 ST. MARY STREET, LAKE VILLAGE, AR 71653-1722
(870) 265-3837
(870) 265-5061
Mailing address
505 ST. MARY STREET, LAKE VILLAGE, AR 71653-1722
(870) 265-3837
(870) 265-5061
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
04/24/2012
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