MEDICARE: KATHLEEN E KRAMER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	C0004002	MD
2	363A00000X	Physician Assistant	PA030605	DC
3	363A00000X	Physician Assistant	0110-005532	VA

General Provider Information

NPI Number	:	1033347935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN E KRAMER PA-C

Provider Business Mailing Address
First Line	:	2100 CLARENDON BLVD STE 400
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 CLARENDON BLVD STE 400
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5445
Country	:	US
Telephone Number	:	703-228-7011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	12/21/2020

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Directions to “ KATHLEEN E KRAMER PA-C” Practice Location

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