MEDICARE: KATE SANDS KRAMER RN

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	163WS0200X	School Registered Nurse	R087753	MD

General Provider Information

NPI Number	:	1053530667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE SANDS KRAMER RN

Provider Business Mailing Address
First Line	:	4747 OAK RD
Second Line	:
City	:	SHADY SIDE
State	:	MD
Zip	:	20764-9782
Country	:	US
Telephone Number	:	410-867-6207
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 MACARTHUR RD
Second Line	:
City	:	FORT MEADE
State	:	MD
Zip	:	20755-2123
Country	:	US
Telephone Number	:	410-674-7787
Fax Number	:

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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