Cronin, Kimberly

Cronin, Kimberly is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Cronin, Kimberly can be contacted via phone (541) 942-0511.

Contact Information

Primary practice address
1515 Village Dr Cottage Grove OR 97424-9700
Phone: (541) 942-0511
Fax: (541) 942-0353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD20308 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20308 Oregon

Profile Details

NPI number 1174569156
LBN Legal business name Cronin, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 3rd, 2010 - about 16 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 1174569156 NPPES
Oregon MEDICAID 084736

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