Provider Demographics
NPI:1942517479
Name:CASEY, JEANINE KRAMER (CERTIFIED FIRST ASSI)
Entity Type:Individual
Prefix:
First Name:JEANINE
Middle Name:KRAMER
Last Name:CASEY
Suffix:
Gender:F
Credentials:CERTIFIED FIRST ASSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 SWEET BAY COURT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:504-460-0147
Mailing Address - Fax:985-875-0539
Practice Address - Street 1:1419 SWEET BAY COURT
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:504-460-0147
Practice Address - Fax:985-875-0539
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACERTIFICATE#118887246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant