MEDICARE: CHRISTOPHER KRAMER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	2003001129	MO
2	207P00000X	Emergency Medicine Physician	05-34156	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01089068	OTHER	BCBS MO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	34780019	OTHER	TRICARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689637233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER KRAMER DO

Provider Business Mailing Address
First Line	:	4412 SW GULL POINT DR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4688
Country	:	US
Telephone Number	:	816-332-2399
Fax Number	:

Provider Business Practice Location Address
First Line	:	4412 SW GULL POINT DR
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-4688
Country	:	US
Telephone Number	:	816-332-2399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	03/17/2011

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Directions to “ CHRISTOPHER KRAMER DO” Practice Location

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