Stephen Andrew Kronlage, RDN, LDN | |
508 Upland St, Kenai, AK 99611-8026 | |
(907) 335-7600 | |
Not Available |
Full Name | Stephen Andrew Kronlage |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 508 Upland St, Kenai, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376211201 | NPI | - | NPPES |
1724847 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 181691 (Alaska) | Primary |
Provider Name | Kenaitze Indian Tribe |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198 |
Mailing Address | Practice Location Address |
---|---|
Stephen Andrew Kronlage, RDN, LDN 805 Peninsula Ave Apt 8, Kenai, AK 99611-6949 Ph: (907) 513-7591 | Stephen Andrew Kronlage, RDN, LDN 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7600 |
Shelby Dykstra, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 49780 Eider Dr, Kenai, AK 99611 Phone: 907-953-4888 | |
Caraline Lynch Tompkins, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 | |
Expedition Nutrition Services Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 805 Peninsula Ave Apt 8, Kenai, AK 99611 Phone: 907-513-7591 |