Individual
OLEXANDR SERGEYEVICH KRINOCHKIN
Active
Individual
OLEXANDR SERGEYEVICH KRINOCHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005019902
MO
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-102786
MT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036147482
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2005019902
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188251001
—
AR
05
—
1912971318
—
MO
01
—
431560263
TRICARE
MN
01
—
P00954935
RR MCR
MO
Enumeration date
02/14/2006
Last updated
04/25/2025
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