Kimberly Dawn Traylor, ATC, LAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

AT1933 Issued in TX

Practice address

4101 Thompson Rd
Keller, TX 76248-6902

Phone

(817) 744-1785

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548360407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 ROUNDTREE CT",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372194",
            "telephone_number": "817-744-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 THOMPSON RD",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486902",
            "telephone_number": "817-744-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "AT1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Anh-Tu Tran, DMD
• Yun Tzu Tran, MD
• Tranquil Sleep Solution LLC (North Texas Sleep Solutions)
• Hannah Traweek, DC
• David Benjamin Traylor, ATC
• Jennifer Maureen Trevino
• Trinity Spine and Orthopedics, PLLC
• True Results LLP (True Results)
• Caroline Tseggay, LCSW
• Corey Tucker, PTA

• Specialist in Keller, TX
• Providers in Keller, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.