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General NPI Number Information
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NPI Number | 1639175672
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Entity Type | Individual
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Provider Name | KENNETH DALE KRONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2845 ROCK WREN LN
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City | AVILA BEACH
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State | CA
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Zip | 93424-3536
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Country | US
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Telephone | 805-627-1713
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Fax | 888-691-8259
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Provider Business Mailing Address
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Address Line | PO BOX 2605
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City | AVILA BEACH
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State | CA
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Zip | 93424-2605
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Country | US
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Telephone | 805-627-1713
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Fax | 888-691-8259
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G23988
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License Number State | CA
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