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KRONCKE WOUND MANAGEMENT PLLC NPI 1043499007


NPI Information

NPI: 1043499007
Provider Name: KRONCKE WOUND MANAGEMENT PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
156 CANDLEWOOD RD
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 903-3124
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KRONCKE WOUND MANAGEMENT PLLC is a general practice in Rocky Mount, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KRONCKE WOUND MANAGEMENT PLLC NPI is 1043499007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

156 CANDLEWOOD RD
ROCKY MOUNT, NC
ZIP 27804-107
Phone: (252) 903-3124

The provider's authorized official is Frederick G Kroncke .
The authorized official title is Owner and has the following contact phone number (252) 903-3124.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 12/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice16896NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18950441MEDICAIDNORTH CAROLINA
2208004AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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