Provider Demographics
NPI:1154318673
Name:KRONER, DAVID R (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:KRONER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ALICE PECK DAY DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-2694
Mailing Address - Country:US
Mailing Address - Phone:603-448-3121
Mailing Address - Fax:603-448-7462
Practice Address - Street 1:17 ALICE PECK DAY DR UNIT A
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-2684
Practice Address - Country:US
Practice Address - Phone:603-443-9572
Practice Address - Fax:603-443-9521
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7173208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204712Medicaid
VTBCBS VTOther00001358
NH8952620OtherCIGNA
NHAA56755OtherHARVARD PRILGRIM
VT1001392Medicaid
NH0101358Y0NH03OtherANTHEM
NH020005OtherMVP
NHB85960OtherANTHEM
VTBCBS VTOther00001358
NHB85960OtherANTHEM