1184872616

Everything you always wanted to know about DR. CRONIN J. KEITH P.T. but were afraid to ask.

DR. CRONIN J. KEITH P.T.

You can also download the this 1184872616 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. CRONIN J. KEITH P.T.
Gender:
Male
Enumeration date:
2008-09-09
Last update date:
2009-03-16
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
1509730 Medicaid none TN
4209433 Other BLUECROSS BLUESHIELD TN

Taxonomies

Taxonomy State License Number Primary?
225100000X Physical Therapist MO 2009000182 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3148390002
Practice Location Address Telephone Number 3148390002
Mailing Address Fax Number 3148395994
Practice Location Address Fax Number 3148395994

Addresses

Type Address City State Postal Country
Mailing Address 3501 DUNN RD SUITE 108 FLORISSANT MO 63033 MO
Practice Location Address 3501 DUNN RD SUITE 108 FLORISSANT MO 63033 MO

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1447633789 CHRONISTER, JENNIFER
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1841415189 SANDERS, CHERRITA
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1831205459 MORRIS, REBECCA
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NPI Name Address State City
1134485790 TRENTMAN, MICHELLE
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3501 DUNN RD MO FLORISSANT
1194165837 MCAVIN, LEAH
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1285012328 CLAEYS, LAUREN
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3501 DUNN RD MO FLORISSANT
1306249040 JANES, WILLIAM
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3501 DUNN RD MO FLORISSANT
1396029609 BUCHHOLZ, LISA
Individual
3501 DUNN RD MO FLORISSANT
1407966914 THIELEMIER, DONNA
Individual
3501 DUNN RD MO FLORISSANT
1417366006 HUGHES, KILEY
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3501 DUNN RD MO FLORISSANT
1447360144 PAGE, ADRIENNE
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3501 DUNN RD MO FLORISSANT
1619346293 KELLY, HILARY
Individual
3501 DUNN RD MO FLORISSANT
1649389214 KHARITON, IRINA
Individual
3501 DUNN RD MO FLORISSANT
1700246774 MURATORI, SARA
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3501 DUNN RD MO FLORISSANT
1710297528 WHITSEL, SAMUEL
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1730296153 CLEARY, SARAH
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3501 DUNN RD MO FLORISSANT
1780972471 GRAVLIN, MEGHAN
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3501 DUNN RD MO FLORISSANT
1841743481 WHITESIDE, MARY
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3501 DUNN RD MO FLORISSANT
1922372465 A BETTER LIFE HEALTH CARE NETW
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3501 DUNN RD MO FLORISSANT
1992181846 BESANCENEZ, EMILY
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3501 DUNN RD MO FLORISSANT