Individual
KIMBERLY SUE TRAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
200 HEALTH CENTER BUILDING, BOWLING GREEN, OH 43403-0001
(419) 372-2515
(419) 372-8089
Mailing address
200 HEALTH CENTER BUILDING, BOWLING GREEN, OH 43403-0001
(419) 372-2515
(419) 372-8089
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000636
STATE LICENSE
MI
01
—
A01036
STATE LICENSE
OH
Enumeration date
03/14/2008
Last updated
02/19/2013
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