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NPI Code Detail

MEDICARE: ROY KENNETH RAMERMAN D.C.

MEDICARE:   ROY KENNETH RAMERMAN  D.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
1111N00000XChiropractor11797CA

General Provider Information

NPI Number : 1639131402
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY KENNETH RAMERMAN D.C.
Provider Business Mailing Address
First Line : PO BOX 2964
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95063-2964
Country : US
Telephone Number : 831-423-3492
Fax Number : 831-423-3492
Provider Business Practice Location Address
First Line : 344 MYRTLE ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4942
Country : US
Telephone Number : 831-423-3492
Fax Number : 831-423-3492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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