Healthcare Provider Details

I. General information

NPI: 1447267943
Provider Name (Legal Business Name): ANGELA N KRAMIG PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA N GARNER

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 05/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 EDWARDS RD SUITE 300
CINCINNATI OH
45209-1287
US

IV. Provider business mailing address

PO BOX 643398
CINCINNATI OH
45264-3398
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-1100
  • Fax: 513-569-5297
Mailing address:
  • Phone: 513-221-1100
  • Fax: 513-569-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.002419RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: