Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD065354L | PA |
NPI | 1003814260 |
---|---|
Provider Name | Rachel L. Kramer |
First Address | Malvern, PA 19355-3265 |
Second Address | Malvern, PA 19355-3265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 17/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9727973 | (05) | MA |
G80718 | (02) | MA |