Provider Demographics
NPI:1851577738
Name:KRAMER, KARIN (LIC AC)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:318 HARVARD ST
Mailing Address - Street 2:STE. 30 FLOOR 2
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2997
Mailing Address - Country:US
Mailing Address - Phone:617-953-3480
Mailing Address - Fax:
Practice Address - Street 1:318 HARVARD ST
Practice Address - Street 2:STE. 30 FLOOR 2
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2997
Practice Address - Country:US
Practice Address - Phone:617-953-3480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227405171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist