Jon Kroenke, M.D.

Pediatrics Physician · Columbus, NE

Individual Active NPI

NPI number 1083028013

Practice location

3775 45TH Avenue
Columbus, NE 68601
Phone
(402) 564-7200
Fax
(402) 564-7210

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NPI record

NPI
1083028013
Entity type
Individual (Type 1)
Enumeration date
June 18, 2014
Last updated
January 29, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 30105 NE
Pediatrics Physician 208000000X 7239 NE

Mailing address

P O Box 1066
Columbus, NE 68602
Phone
(402) 564-7200
Fax
(402) 564-7210

About Dr. Kroenke

Jon Kroenke, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3775 45TH Avenue, Columbus, NE 68601. The NPI number 1083028013 was assigned on June 18, 2014 and the record was last updated on January 29, 2018.

Dr. Kroenke lists 2 licenses in the registry: #30105 (NE) for Pediatrics Physician; #7239 (NE) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Kroenke, M.D.?

The NPI number is 1083028013.

What is the phone number of Dr. Kroenke?

The phone number listed for the practice location is (402) 564-7200.

Where is Dr. Kroenke located?

3775 45TH Avenue, Columbus, NE 68601.

What is the taxonomy code for Dr. Kroenke?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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