Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM TREVIRANUS
ActiveKIM TREVIRANUS is a Sports Medicine (IM) healthcare provider located in STERLING, Illinois. NPI 1225118128 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · STERLING, IL
Registration Details
- NPI Number
- 1225118128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.866256762042 yrs)
- Last Updated
- Nov 13, 2018
- License
-
036061910 (IL)
Practice Information
- Address
-
101 E MILLER RDSTERLING, IL, 610811252Browse IL providers · Browse ZIP 61081
- Phone
- 8156254790
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.