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Provider Information for 1992748404


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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Mr. KEVIN KRAMER LCSW


Sex: Male

NPI: 1992748404
Last Updated: 2007-07-09
Certification Date:

Details

NameValue
NPI1992748404
Enumeration Date2006-06-13
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3031 IH 10 W
SAN ANTONIO, TX 78201-5159
United States

Phone: | Fax:
 
Primary Practice Address 1115 W MARTIN ST
SAN ANTONIO, TX 78207-3005
United States

Phone: 210-731-1300 | Fax:210-738-8025
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX142894802
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalTX33064