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NPI Code Detail

MEDICARE: CASEY KRAMER

MEDICARE: CASEY KRAMER
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
1225200000XPhysical Therapy AssistantA03388KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NAOTHERNA

General Provider Information

NPI Number : 1407449697
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY KRAMER
Provider Business Mailing Address
First Line : 3675 BEAVER RD
Second Line :
City : UNION
State : KY
Zip : 41091
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 CARMEL MANOR DR
Second Line :
City : FORT THOMAS
State : KY
Zip : 41075-2300
Country : US
Telephone Number : 859-486-7716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 02/18/2021

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Directions to “ CASEY KRAMER ” Practice Location

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