Provider Demographics
NPI:1740732247
Name:KRAMER, MEGAN MOYERS
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MOYERS
Last Name:KRAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MOYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4236 OHARA DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5061
Mailing Address - Country:US
Mailing Address - Phone:865-426-2108
Mailing Address - Fax:
Practice Address - Street 1:4236 OHARA DR
Practice Address - Street 2:UNIT D
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5061
Practice Address - Country:US
Practice Address - Phone:865-426-2108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist