Provider Demographics
NPI:1487845491
Name:KRAMER, DENNIS MARK (ND, HT)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MARK
Last Name:KRAMER
Suffix:
Gender:M
Credentials:ND, HT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 CAMINO VADO
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-7790
Mailing Address - Country:US
Mailing Address - Phone:505-424-8808
Mailing Address - Fax:505-424-8818
Practice Address - Street 1:2308 CAMINO VADO
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7790
Practice Address - Country:US
Practice Address - Phone:505-424-8808
Practice Address - Fax:505-424-8818
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath