Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | D0053495 | MD |
NPI | 1124067822 |
---|---|
Provider Name | Ryan M. Kramer |
First Address | Halethorpe, MD 21227-3553 |
Second Address | Halethorpe, MD 21227-3553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 09/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
119404600 | (05) | MD |
H04820 | (02) | MD |