Provider Demographics
NPI:1619040326
Name:KRAMER, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1800 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1433
Mailing Address - Country:US
Mailing Address - Phone:859-276-1557
Mailing Address - Fax:859-276-3188
Practice Address - Street 1:1800 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1433
Practice Address - Country:US
Practice Address - Phone:859-276-1557
Practice Address - Fax:859-276-3188
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY29531207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64295314Medicaid
KY64295314Medicaid
KY93635Medicare ID - Type Unspecified
KYBK2826848OtherDEA