# DR. KATHRYN POOL TRAYES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154546398
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD436271 | PA | Yes |
| 207Q00000X | Family Medicine Physician | MT188353 | PA | — |

## Other

- **Enumeration date:** 04/14/2007
- **Last updated:** 10/24/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0206792 | — | NJ |
| 05 | — | 1023701010001 | — | PA |
| 05 | — | 1023701010002 | — | PA |
| 01 | — | MT188353 | MEDICAL TRAINING LISCENSE | PA |