Individual
MR. TRAVIS S CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3730 PLAZA WAY STE 6500, KENNEWICK, WA 99338-2718
(509) 585-3622
(509) 585-3624
Mailing address
3730 PLAZA WAY STE 6500, KENNEWICK, WA 99338-2718
(509) 585-3622
(509) 585-3624
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106152
—
WA
01
—
125685
LI
WA
01
—
480027205
RR MEDICARE
—
Enumeration date
12/08/2006
Last updated
01/19/2018
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