Provider Demographics
NPI:1457629776
Name:KRONEN, LEONARD (DC)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:KRONEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 93580
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33804-3580
Mailing Address - Country:US
Mailing Address - Phone:863-268-8259
Mailing Address - Fax:
Practice Address - Street 1:141 AVENUE C SW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3258
Practice Address - Country:US
Practice Address - Phone:863-268-8259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2851111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation