Healthcare Provider Details

I. General information

NPI: 1447837588
Provider Name (Legal Business Name): KIRA P. CRAMER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 MEADOWS BLVD STE 270
CASTLE ROCK CO
80109-8412
US

IV. Provider business mailing address

PO BOX 639
CASTLE ROCK CO
80104-0639
US

V. Phone/Fax

Practice location:
  • Phone: 303-814-1082
  • Fax: 303-814-0020
Mailing address:
  • Phone: 303-814-1082
  • Fax: 303-814-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD.0000948
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: