Provider Demographics
NPI:1154825107
Name:KRAMER, JENNIFER MELISSA (MD, MS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MELISSA
Last Name:KRAMER
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Gender:F
Credentials:MD, MS
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Other - Credentials:
Mailing Address - Street 1:PO BOX 245067
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5067
Mailing Address - Country:US
Mailing Address - Phone:520-626-7402
Mailing Address - Fax:520-626-1518
Practice Address - Street 1:1625 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4330
Practice Address - Country:US
Practice Address - Phone:520-694-0111
Practice Address - Fax:520-626-1518
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2023-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ614302085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology