Individual
KIMBER RENA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 15TH ST, SAN DIEGO, CA 92101-7792
(757) 675-2049
Mailing address
424 15TH ST, SAN DIEGO, CA 92101-7792
(757) 675-2049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95039131
CA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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