Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | GA526 | GA |
N | 111NR0200X | Radiology | GA526 | GA |
N | 213ER0200X | Radiology | GA526 | GA |
N | 2081S0010X | Sports Medicine | GA526 | GA |
N | 213ES0000X | Sports Medicine | GA526 | GA |
N | 213ES0103X | Foot & Ankle Surgery | GA526 | GA |
NPI | 1881745842 |
---|---|
Provider Name | Dr. Kent E Kronowski |
First Address | Augusta, GA 30904-5827 |
Second Address | Augusta, GA 30904-5827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 25/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000314564B | (05) | GA |
GA526 | STATE LICENSE NUMBER (01) | GA |
GPO526 | (05) | SC |
T97703 | (02) | GA |