Individual
DR. KENNETH E KRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
456 N NEW BALLAS RD STE 249, CREVE COEUR, MO 63141-6842
(314) 569-2201
(314) 569-2320
Mailing address
456 N NEW BALLAS RD, SUITE 249, CREVE COEUR, MO 63141-6831
(314) 569-2201
(314) 569-2320
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13560
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111520
CIGNA HMO
MO
01
—
29086
BCBS
MO
Enumeration date
12/28/2006
Last updated
06/26/2023
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