Healthcare Provider Details

I. General information

NPI: 1790691228
Provider Name (Legal Business Name): KAITLIN S KRAMMES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-0001
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-5652
  • Fax: 570-271-7165
Mailing address:
  • Phone: 570-271-5652
  • Fax: 570-271-7165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN708384
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: