MEDICARE: DR. WILLIAM JEFFREY KRAMER DC, PHD, ATC, CHES

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	111NN1001X	Nutrition Chiropractor	3145	SC
2	111NS0005X	Sports Physician Chiropractor	3145	SC
3	2255A2300X	Athletic Trainer	770	SC
4	111N00000X	Chiropractor	3145	SC

General Provider Information

NPI Number	:	1467482026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JEFFREY KRAMER DC, PHD, ATC, CHES

Provider Business Mailing Address
First Line	:	7C BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-288-2459
Fax Number	:

Provider Business Practice Location Address
First Line	:	7C BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-288-2459
Fax Number	:

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/08/2007

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