Individual
RYAN T TRAURING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 SAINT JOSEPH DR, KOKOMO, IN 46901-1890
(765) 459-4070
Mailing address
615 SAINT JOSEPH DR, KOKOMO, IN 46901-1890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867620
—
IN
Enumeration date
03/19/2007
Last updated
05/23/2022
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