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

Kimberly Sharese Travis

Individual provider Physician Assistant · NPI 1629846720

Kimberly Sharese Travis is a Physician Assistant in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629846720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address6522 Baybrook Ln, Memphis, TN 38134-7802

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