Healthcare Provider Details

I. General information

NPI: 1306906268
Provider Name (Legal Business Name): LEONARD A KRAMER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LEONARD ARTHUR KRAMER

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S MERIDIAN
PUYALLUP WA
98371-5916
US

IV. Provider business mailing address

200 S MERIDIAN
PUYALLUP WA
98371-5916
US

V. Phone/Fax

Practice location:
  • Phone: 253-845-1400
  • Fax:
Mailing address:
  • Phone: 253-845-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number2034
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2034
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: