Krone, Kenneth Dale

Krone, Kenneth Dale is an individual health care provider with primary practice located at 1100 Monterey St Suite 210, San Luis Obispo CA 93401-3102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Krone, Kenneth Dale can be contacted via phone (805) 542-9700.

Contact Information

Primary practice address
1100 Monterey St Suite 210 San Luis Obispo CA 93401-3102
Fax: (805) 542-0584
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G23988 California

Profile Details

NPI number 1639175672
LBN Legal business name Krone, Kenneth Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639175672 NPPES
California MEDICAID 00G239880

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