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Individual
DR. KATHRYN POOL TRAYES
Active
Individual
DR. KATHRYN POOL TRAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD436271
PA
207Q00000X
Family Medicine Physician
MT188353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206792
—
NJ
05
—
1023701010001
—
PA
05
—
1023701010002
—
PA
01
—
MT188353
MEDICAL TRAINING LISCENSE
PA
Enumeration date
04/14/2007
Last updated
10/24/2019
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