Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 36347 | KY |
N | 207YP0228X | Pediatric Otolaryngology | 36347 | KY |
NPI | 1699852780 |
---|---|
Provider Name | Dr. Bryan Jeffrey Krol |
First Address | Fort Thomas, KY 41075-4107 |
Second Address | Fort Thomas, KY 41075-4107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000194039 | ANTHEM (01) | |
100015770 | (05) | IN |
10-00769 | UNITED HEALTHCARE (01) | |
1047169 | (05) | IN |
1187975 | CHA (01) | |
200323170 | (05) | IN |
2573298 | AETNA (01) | |
35079139 | OH MEDICAL LICENSE (01) | OH |
36347 | KY MEDICAL LICENSE (01) | KY |
64027923 | (05) | KY |
65917965 | (05) | KY |
701342 | (05) | OH |
H32901 | (02) |