Provider Demographics
NPI:1124587571
Name:FLYNN-KRAMER, CORTNEY (RDN)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:
Last Name:FLYNN-KRAMER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2129
Mailing Address - Country:US
Mailing Address - Phone:732-744-4544
Mailing Address - Fax:
Practice Address - Street 1:121 ROUTE 34
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2129
Practice Address - Country:US
Practice Address - Phone:732-744-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered