Individual
DR. TRAVIS E KUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
(360) 493-2437
Mailing address
5600 PACIFIC AVE SE, LACEY, WA 98503-1258
(360) 493-2000
(360) 493-2437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188783
L & S
WA
01
—
312440100000
PREMERA
WA
Enumeration date
06/10/2006
Last updated
07/14/2011
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