Kramer, Kathryn O

Kramer, Kathryn O is an individual health care provider with primary practice located at 1001 Main St Suite 500A, Peoria IL 61606-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kramer, Kathryn O can be contacted via phone (309) 672-4980.

Contact Information

Primary practice address
1001 Main St Suite 500A Peoria IL 61606-1907
Phone: (309) 672-4980
Fax: (309) 671-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036082100 Illinois

Profile Details

NPI number 1487692703
LBN Legal business name Kramer, Kathryn O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jun 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487692703 NPPES
Illinois Other 220019675 RAILROAD MEDICARE
Illinois MEDICAID 0360821001 RAILROAD MEDICARE

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