MEDICARE: JENNIFER A HRONKIN 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
1	207Q00000X	Family Medicine Physician	3528	AK
2	207Q00000X	Family Medicine Physician	DR.0037364	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	016859	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1992716161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A HRONKIN MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:	303-493-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7960 S UNIVERSITY BLVD STE 101
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-3167
Country	:	US
Telephone Number	:	303-791-0301
Fax Number	:	303-791-8511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	01/13/2022

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