Individual
KEVIN TRAGESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(303) 373-2008
Mailing address
8401 S CHAMBERS RD, PARKER, CO 80134-9498
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T5513
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2022
Last updated
07/12/2024
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