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Individual

MR. KENNETH RICHARD KRAMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
356 12TH ST SW, FOREST LAKE, MN 55025-1749
(651) 464-1994
(651) 464-1994
Mailing address
356 12TH ST SW, FOREST LAKE, MN 55025-1749
(651) 464-1994
(651) 464-1994

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112353
MN

Other

Enumeration date
09/09/2011
Last updated
09/09/2011
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