Individual
MARK KENNETH KRAMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9350
(570) 271-6621
(570) 271-6762
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN303404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102634783
—
PA
01
—
KR1657788
BLUE SHIELD
PA
Enumeration date
10/19/2005
Last updated
05/06/2019
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