Provider Demographics
NPI:1952195851
Name:KRONE, COOPER SAMUEL (DC)
Entity type:Individual
Prefix:
First Name:COOPER
Middle Name:SAMUEL
Last Name:KRONE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5132 N 31ST WAY UNIT 128
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4505
Mailing Address - Country:US
Mailing Address - Phone:618-980-8971
Mailing Address - Fax:
Practice Address - Street 1:5132 N 31ST WAY UNIT 128
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4505
Practice Address - Country:US
Practice Address - Phone:618-980-8971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9423111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor