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Contact Information

KIMBERLY N TRAYLOR, PTA
600 NE MEADOWVIEW DR
LEE'S SUMMIT, MO64064
 Phone: 816-554-9866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for KIMBERLY N TRAYLOR · (Female)

NPI Number 1114408101
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/27/2018
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017027547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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