Healthcare Provider Details

I. General information

NPI: 1780150763
Provider Name (Legal Business Name): KRAMER AHRENS RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SAINT MARYS DR STE 205W
EVANSVILLE IN
47714-0556
US

IV. Provider business mailing address

7400 OAKDALE DR
NEWBURGH IN
47630-2932
US

V. Phone/Fax

Practice location:
  • Phone: 812-266-2877
  • Fax:
Mailing address:
  • Phone: 812-550-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86132437
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: