Individual
MRS. KIMBERLY DAWN TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4101 THOMPSON RD, KELLER, TX 76248-6902
(817) 744-1785
Mailing address
5104 ROUNDTREE CT, HALTOM CITY, TX 76137-2194
(817) 744-1785
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT1933
TX
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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