Individual
KYLE KRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3413 TITTABAWASSEE RD, SAGINAW, MI 48604-9489
(989) 791-1044
(989) 791-4366
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 464-1479
(586) 464-1480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194879023
—
MI
Enumeration date
08/20/2019
Last updated
10/10/2019
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