Individual
KACI TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5940 W UNION HILLS DR STE D100, GLENDALE, AZ 85308-1361
(602) 978-2500
Mailing address
5940 W UNION HILLS DRIVE, D100, GLENDALE, AZ 85308
(602) 978-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7588
AZ
Other
Enumeration date
09/16/2019
Last updated
11/05/2019
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