Tram, Kenneth K

Tram, Kenneth K is an individual health care provider with primary practice located at 293 S Main St , Orange CA 92868-3843. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Tram, Kenneth K can be contacted via phone (714) 838-8848.

Contact Information

Primary practice address
293 S Main St Orange CA 92868-3843
Phone: (714) 838-8848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G67475 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G67475 California

Profile Details

NPI number 1700875911
LBN Legal business name Tram, Kenneth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Feb 18th, 2015 - about 9 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 1700875911 NPPES
California MEDICAID 00G674750

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