Provider Demographics
NPI:1205509957
Name:KRONYAK, KATIE MICHELE (MSED)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:MICHELE
Last Name:KRONYAK
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 HAMLIN RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:PA
Mailing Address - Zip Code:18801-7702
Mailing Address - Country:US
Mailing Address - Phone:607-296-8194
Mailing Address - Fax:
Practice Address - Street 1:282 HAMLIN RD
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:PA
Practice Address - Zip Code:18801-7702
Practice Address - Country:US
Practice Address - Phone:607-296-8194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist