Provider Demographics
NPI:1033348529
Name:KRAMER, SHERYL DAWN (LICENSED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:DAWN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LICENSED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 WASHINGTON VILLAGE DR
Mailing Address - Street 2:SUITE 213
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3953
Mailing Address - Country:US
Mailing Address - Phone:937-312-6540
Mailing Address - Fax:937-438-4633
Practice Address - Street 1:7700 WASHINGTON VILLAGE DR
Practice Address - Street 2:SUITE 213
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3953
Practice Address - Country:US
Practice Address - Phone:937-312-6540
Practice Address - Fax:937-438-4633
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.1681133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered