Provider Demographics
NPI:1437128576
Name:KRON, KENNETH J (MPT)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:J
Last Name:KRON
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 BROADWAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040
Mailing Address - Country:US
Mailing Address - Phone:609-977-3577
Mailing Address - Fax:
Practice Address - Street 1:200 ROUTE 57
Practice Address - Street 2:SUITE 1
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-387-1277
Practice Address - Fax:908-387-1280
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01020300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist