Individual
DR. KEVIN BURKE CRANMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 CASE ST STE 215, NORWICH, CT 06360-2222
(860) 373-4148
(860) 908-2353
Mailing address
12 CASE ST STE 215, NORWICH, CT 06360-2222
(860) 373-4148
(860) 908-2353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
044355
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001443556
—
CT
01
—
044355
CONNECTICARE
CT
01
—
2679264
UNITED HEALTHCARE
CT
01
—
3V1443
HEALTHNET
CT
01
—
P00734658
MEDICARE RAILROAD
CT
Enumeration date
04/19/2006
Last updated
03/06/2023
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