Provider Demographics
NPI:1912228909
Name:KRAMER, KURT DONALD (STM, DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:DONALD
Last Name:KRAMER
Suffix:
Gender:M
Credentials:STM, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 12TH ST E
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:MN
Mailing Address - Zip Code:55336-2133
Mailing Address - Country:US
Mailing Address - Phone:320-864-8000
Mailing Address - Fax:
Practice Address - Street 1:627 12TH ST E
Practice Address - Street 2:
Practice Address - City:GLENCOE
Practice Address - State:MN
Practice Address - Zip Code:55336-2133
Practice Address - Country:US
Practice Address - Phone:612-240-0054
Practice Address - Fax:320-864-8004
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor