Active NPI
Kim Susanne Kram
- Athletic Trainer
- Aberdeen, SD
National Provider Identifier
1689150252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0441
- Practice address
- 305 S State St
Aberdeen, SD 57401-4527 - Phone
- (605) 622-5200
- Fax
- (605) 622-5201
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0441 | SD | Primary |
Addresses
Primary practice location
305 S State St
Aberdeen, SD 57401-4527
Mailing address
407 16TH Ave NE
Aberdeen, SD 57401-1338
Phone (605) 229-5668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0441 | SD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1689150252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 16TH AVE NE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574011338",
"telephone_number": "605-229-5668",
"fax_number": "605-622-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S STATE ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014527",
"telephone_number": "605-622-5200",
"fax_number": "605-622-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAM",
"first_name": "KIM",
"middle_name": "SUSANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SD",
"license": "0441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.