# KARA TRAVIS MUDD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730374794
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1064 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | PA1064 | KY | — |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 12/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000608608 | ANTHEM- NORTON ORTHO TRAUMA CARE | KY |
| 01 | — | 000023035V | HUMANA- NORTON ORTHO TRAUMA CARE | KY |
| 01 | — | 00533117 | MEDICARE- NORTON ORTHO TRAUMA CARE | KY |
| 01 | — | 3704756000 | PASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE | KY |
| 01 | — | 50023180 | PASSPORT- NORTON ORTHO TRAUMA CARE | KY |
| 01 | — | 611276316-106 | TRICARE- NORTON ORTHO TRAUMA CARE | KY |
| 05 | — | 7100040740 | — | KY |
| 01 | — | P00764030 | RAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE | KY |