Individual
DR. KATHRYN POOL TRAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
JEFFERSON HEALTH - ART MUSEUM, 2130 SPRING GARDEN STREET, PHILADELPHIA, PA 19130
(215) 955-9555
(215) 988-0545
Mailing address
2130 SPRING GARDEN ST, PHILADELPHIA, PA 19130-3502
(215) 955-9555
(215) 988-0545
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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