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

Kimber Rena Travis

Individual provider Nurse Practitioner · NPI 1710828066

Kimber Rena Travis is a Nurse Practitioner in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Utah.

Licensed in
CA, UT
In the registry since
2026
Specialties on file
2

Practice location Address checks out

424 15th St
San Diego, CA 92101-7792
Phone: (757) 675-2049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 W Broadway Fl 7, Salt Lake City, UT 84101-2060 — (425) 243-3719

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14291528-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 95039131 (CA)

Record details

NPI number1710828066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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