Provider Demographics
NPI:1447837588
Name:CRAMER, KIRA P (DPM)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:P
Last Name:CRAMER
Suffix:
Gender:F
Credentials:DPM
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 639
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-0639
Mailing Address - Country:US
Mailing Address - Phone:303-814-1082
Mailing Address - Fax:303-814-0020
Practice Address - Street 1:2352 MEADOWS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8412
Practice Address - Country:US
Practice Address - Phone:303-814-1082
Practice Address - Fax:303-814-0020
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPOD.0000948213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery