Provider Demographics
NPI:1629125133
Name:KRAMER, KIM ALINE (APRN,BC (FNP))
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:ALINE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:APRN,BC (FNP)
Other - Prefix:
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Mailing Address - Street 1:3701 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3611
Mailing Address - Country:US
Mailing Address - Phone:303-761-1977
Mailing Address - Fax:303-761-2787
Practice Address - Street 1:12055 W 2ND PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1506
Practice Address - Country:US
Practice Address - Phone:303-789-7072
Practice Address - Fax:303-789-7074
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0117131163W00000X
COAPN.0002618-NP363L00000X
CORXN.0005009-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse