Kroncke Wound Management PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16896 Issued in NC

Legal business name

KRONCKE WOUND MANAGEMENT PLLC

Practice address

156 Candlewood Rd
Rocky Mount, NC 27804-2107

Phone

(252) 903-3124

NPI assigned

Oct 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick G Kroncke, MD

Title

Owner

Phone

(252) 903-3124

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1043499007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CANDLEWOOD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042107",
            "telephone_number": "252-903-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CANDLEWOOD RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042107",
            "telephone_number": "252-903-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRONCKE WOUND MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "KRONCKE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-903-3124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "16896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950441",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kota Transport Service LLC
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• Ryan Joseph Kramer, MD
• Kathryn Anne Krauss, M.S. CCC-SLP
• Frederick George Kroncke Jr., M.D.
• KTC Transit Group, LLC
• Aubrey Kuester, DPT
• Kumar Internal Medicine Assoc. P.a.
• KW Business Enterprises

• General Practice Physician in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.