NPI 1295199206 KELLY TRAVERSO SUTTER CREEK CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kelly Traverso - NPI: 1295199206

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KELLY TRAVERSO
NPI Number: 1295199206
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number:
Business Practice Address: 10877 Conductor Blvd
Sutter Creek, CA - 956859687
Business Phone Number: 2092236412
Business Fax Number:
Mailing Address: 10877 Conductor Blvd,
SUTTER CREEK
State: CA
Postal Code: 956859687
Phone Number:
Fax Number:
NPI Enumeration Date: 04/06/2016
NPI Last Update Date: 04/06/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 175T00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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