Healthcare Provider Details

I. General information

NPI: 1770418337
Provider Name (Legal Business Name): MYRA ANN KRAEMER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14040 BOYS TOWN HOSPITAL RD
BOYS TOWN NE
68010-7521
US

IV. Provider business mailing address

555 N 30TH ST
OMAHA NE
68131-2136
US

V. Phone/Fax

Practice location:
  • Phone: 531-355-6800
  • Fax: 531-355-6880
Mailing address:
  • Phone: 531-355-6741
  • Fax: 531-355-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number491
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: