Individual
KAY A. KRAMER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
127 AVENUE C, SUITE A, SNOHOMISH, WA 98290-2768
(360) 568-4185
Mailing address
2302 110TH DR SE, EVERETT, WA 98205-2526
(425) 334-2307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124385
L & I PROVIDER
WA
01
—
3786KR
REGENCE PROVIDER
WA
Enumeration date
06/09/2007
Last updated
07/08/2007
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