Provider Demographics
NPI:1508885765
Name:KRAEMER, KATHARYN L (CNM)
Entity Type:Individual
Prefix:
First Name:KATHARYN
Middle Name:L
Last Name:KRAEMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4700 UNION DEPOSIT RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111
Mailing Address - Country:US
Mailing Address - Phone:717-652-6605
Mailing Address - Fax:717-652-6431
Practice Address - Street 1:4700 UNION DEPOSIT RD
Practice Address - Street 2:SUITE 140
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111
Practice Address - Country:US
Practice Address - Phone:717-652-6605
Practice Address - Fax:717-652-6431
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMW008617L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife