Provider Demographics
NPI:1437537214
Name:KRAMER, ADAM KOLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:KOLIN
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 N. CHARLES ST.
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47371-3011
Mailing Address - Country:US
Mailing Address - Phone:260-726-3065
Mailing Address - Fax:
Practice Address - Street 1:3623 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3002
Practice Address - Country:US
Practice Address - Phone:812-799-7235
Practice Address - Fax:812-799-7264
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003126A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300034832Medicaid