Provider Demographics
NPI:1467522433
Name:TRAVERS, KAREN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:TRAVERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:559 VINCENT ST
Mailing Address - Street 2:21 MDOS/SGOW - ATTN: MENTAL HEALTH
Mailing Address - City:PETERSON AFB
Mailing Address - State:CO
Mailing Address - Zip Code:80914-1541
Mailing Address - Country:US
Mailing Address - Phone:719-556-7804
Mailing Address - Fax:719-556-7399
Practice Address - Street 1:559 VINCENT ST
Practice Address - Street 2:21 MDOS/SGOW - ATTN: MENTAL HEALTH
Practice Address - City:PETERSON AFB
Practice Address - State:CO
Practice Address - Zip Code:80914-1541
Practice Address - Country:US
Practice Address - Phone:719-556-7804
Practice Address - Fax:719-556-7399
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.508892084P0800X, 2084P0800X, 2084P0800X
GA0667492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry