Kyrie Cramer
Individual provider Active NPI Other Technician · Dundee, MI
NPI 1043661002 · NPPES record last updated Jun 25, 2021
Key facts
- NPI
- 1043661002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 142 Helle Blvd Apt 212
Dundee, MI 48131-9408 - Phone
- (734) 693-9973
- NPI assigned
- Jun 30, 2016
- Reactivated
- Jun 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
142 Helle Blvd Apt 212
Dundee, MI 48131-9408
Mailing address
142 Helle Blvd Apt 212
Dundee, MI 48131-9408
Phone (734) 693-9973
Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.