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NPI Code Detail

MEDICARE: JEFFREY D. KROHN MD

MEDICARE: JEFFREY D. KROHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician32499IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219702OTHERIAWELLMARK - KINGSLEY
334553OTHERIAWELLMARK - MAPLE VALLEY
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003869058
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY D. KROHN MD
Provider Business Mailing Address
First Line : 814 PIERCE ST STE 300
Second Line :
City : SIOUX CITY
State : IA
Zip : 51101-1058
Country : US
Telephone Number : 712-226-2600
Fax Number : 712-226-2605
Provider Business Practice Location Address
First Line : 2600 OUTER DR N
Second Line :
City : SIOUX CITY
State : IA
Zip : 51104-1585
Country : US
Telephone Number : 712-239-3300
Fax Number : 712-239-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/04/2025

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