Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Tragesser

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720736069

Kevin Tragesser is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (303) 373-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence T5513 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720736069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address8401 S Chambers Rd, Parker, CO 80134-9498

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