Healthcare Provider Details

I. General information

NPI: 1457481228
Provider Name (Legal Business Name): REGINA A KRAEMER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 E ARAPAHOE RD
LITTLETON CO
80122-2312
US

IV. Provider business mailing address

5555 E ARAPAHOE RD
CENTENNIAL CO
80122-2312
US

V. Phone/Fax

Practice location:
  • Phone: 303-850-2111
  • Fax:
Mailing address:
  • Phone: 303-850-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number169504
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: