Healthcare Provider Details

I. General information

NPI: 1366712184
Provider Name (Legal Business Name): KELLY CRAMOND PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. KELLY CRAMOND

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 RIGGINS CT STE 104
RENO NV
89502-6575
US

IV. Provider business mailing address

5605 RIGGINS CT STE 104
RENO NV
89502-6575
US

V. Phone/Fax

Practice location:
  • Phone: 775-525-1347
  • Fax: 775-201-9457
Mailing address:
  • Phone: 775-525-1347
  • Fax: 775-201-9457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY0718
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: