| Doctor Name: | MR. KEVIN TRAVIS WORTH |
| NPI Number: | 1003148636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | R 137390 1 |
| Business Practice Address: | Cmr 457 Apo, AE - 090339998 |
| Business Phone Number: | 09721966222 |
| Business Fax Number: | |
| Mailing Address: | Cmr 457 Box 166, APO |
| State: | AE |
| Postal Code: | 090330002 |
| Phone Number: | 3214499080 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2010 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | R 137390 1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |