Healthcare Provider Details
I. General information
NPI: 1578226486
Provider Name (Legal Business Name): DR KRONLAGE OSTEOPATHIC CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2021
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 ORANGE ST
ASHEVILLE NC
28801-2328
US
IV. Provider business mailing address
825 MERRIMON AVE STE C
ASHEVILLE NC
28804-2467
US
V. Phone/Fax
- Phone: 520-390-1793
- Fax: 520-306-4937
- Phone: 828-808-2601
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
KRONLAGE
Title or Position: OWNER/MEMBER
Credential: DO
Phone: 828-808-2601