MEDICARE: ALPHA & OMEGA CONCIERGE, PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1649105917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA & OMEGA CONCIERGE, PLLC

Provider Business Mailing Address
First Line	:	112 CARRIAGE HILLS LN
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-4414
Country	:	US
Telephone Number	:	502-693-9188
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 CARRIAGE HILLS LN
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-4414
Country	:	US
Telephone Number	:	502-693-9188
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD CLINT CRON
Credential	:	APRN
Telephone Number	:	502-693-9188

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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