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DR. STEPHEN K KRONHOLM MD NPI 1487630968


NPI Information

NPI: 1487630968
Provider Name: DR. STEPHEN K KRONHOLM, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
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DR. Stephen K Kronholm, MD is an urology in Lewiston, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Stephen K Kronholm, MD NPI is 1487630968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 746-6348

The enumeration date for this NPI number is 12/16/2005 and was last updated on 10/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineM-6391IDAHONo
2208800000XUrologyM-6391IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14117-8OTHERIDAHOBLUECROSS
220006147OTHERIDAHONORIDIAN-MEDICARE
3003782100MEDICAIDIDAHO
4000010000609OTHERIDAHOREGENCE
5A44744MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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