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NPI Code Detail

MEDICARE: MR. LUKE T KRON PT

MEDICARE: MR. LUKE T KRON PT
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
1225100000XPhysical TherapistPT20389FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861420242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LUKE T KRON PT
Provider Business Mailing Address
First Line : PO BOX 136662
Second Line :
City : CLERMONT
State : FL
Zip : 34713-6662
Country : US
Telephone Number : 352-243-9341
Fax Number : 352-243-8293
Provider Business Practice Location Address
First Line : 627 8TH ST
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2159
Country : US
Telephone Number : 352-243-4422
Fax Number : 352-243-8293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/28/2021

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