MEDICARE: REBECCA ANN KRAMER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	54320	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	144881	OTHER	KS	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699726463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN KRAMER CRNA

Provider Business Mailing Address
First Line	:	PO BOX 388
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-0388
Country	:	US
Telephone Number	:	316-281-3700
Fax Number	:	316-282-4322

Provider Business Practice Location Address
First Line	:	1708 EAST 23RD STREET
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67502
Country	:	US
Telephone Number	:	620-663-7187
Fax Number	:

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	10/29/2020

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