Provider Demographics
NPI:1780150763
Name:AHRENS, KRAMER (RDN)
Entity type:Individual
Prefix:
First Name:KRAMER
Middle Name:
Last Name:AHRENS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 OAKDALE DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2932
Mailing Address - Country:US
Mailing Address - Phone:812-550-2663
Mailing Address - Fax:
Practice Address - Street 1:801 SAINT MARYS DR STE 205W
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0556
Practice Address - Country:US
Practice Address - Phone:812-266-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86132437133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered