Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 12010839A | IN |
NPI | 1184848095 |
---|---|
Provider Name | Dr. Kyle Joseph Kramer |
First Address | Noblesville, IN 46062-9133 |
Second Address | Noblesville, IN 46062-9133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 26/10/2016 |