Provider Demographics
NPI:1619947744
Name:KRAMER, JANA D (RPA-C)
Entity type:Individual
Prefix:MS
First Name:JANA
Middle Name:D
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:ONAGA
Mailing Address - State:KS
Mailing Address - Zip Code:66521-0460
Mailing Address - Country:US
Mailing Address - Phone:785-889-5002
Mailing Address - Fax:785-889-7163
Practice Address - Street 1:1603 W 4TH ST
Practice Address - Street 2:
Practice Address - City:HOLTON
Practice Address - State:KS
Practice Address - Zip Code:66436
Practice Address - Country:US
Practice Address - Phone:785-364-3205
Practice Address - Fax:785-364-3468
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1500506207Q00000X
KS15-00506363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100392190AMedicaid
KS042700Medicare PIN