Provider Demographics
NPI:1306906268
Name:KRAMER, LEONARD A
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:A
Last Name:KRAMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LEONARD
Other - Middle Name:ARTHUR
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 S MERIDIAN
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-5916
Mailing Address - Country:US
Mailing Address - Phone:253-845-1400
Mailing Address - Fax:
Practice Address - Street 1:200 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5916
Practice Address - Country:US
Practice Address - Phone:253-845-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2034231HA2400X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist