Individual
COREY KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W MAIN STREET, JACKSONVILLE, AR 72076
(501) 982-4578
(501) 533-6326
Mailing address
982 OLIVER LANE, CABOT, AR 72023
(501) 472-3121
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8352
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184690721
—
AR
Enumeration date
01/18/2011
Last updated
12/23/2021
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