Provider Demographics
NPI:1689637233
Name:KRAMER, CHRISTOPHER (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4412 SW GULL POINT DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4688
Mailing Address - Country:US
Mailing Address - Phone:816-332-2399
Mailing Address - Fax:
Practice Address - Street 1:4412 SW GULL POINT DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4688
Practice Address - Country:US
Practice Address - Phone:816-332-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003001129207P00000X
KS05-34156207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO010568509Medicaid
01089068OtherBCBS MO
KS200413870DMedicaid
MO206054702Medicaid
34780019OtherTRICARE
KS90036022Medicaid
MO540568508Medicaid
KS200413870DMedicaid
KS90036022Medicaid
MO206054702Medicaid
34780019OtherTRICARE
P27C190Medicare PIN
261320Medicare PIN
G45901Medicare UPIN