Travis Koeneke MD

NPI 1942305677 - Internal Medicine - 207R00000X

NPI Details
NPI 1942305677
Gender Male
Enumeration Date 09/14/2006
Last Updated 03/22/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1133 COLLEGE AVE
SUITE E-110
MANHATTAN KS, 66502-2770, US
Phone (785) 537-2651
Fax (785) 537-4276
Business Location
PO BOX 1458
WICHITA KS, 67201-1458, US
Phone (316) 262-4467
Fax (316) 262-0706
Toxanomy
Taxonomy Code 207R00000X
License State Nebraska
License Number 23779
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According to our database, Travis Koeneke MD NPI is 1942305677, taxonomy code is 207R00000X and license number is 23779, license state is located at Nebraska. Travis Koeneke MD physically located at 1133 College Ave, Manhattan KS, 66502-2770. NPI Number Travis Koeneke MD has the Individual type.

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1942305677 NPI number is provided on an as is basis without warranty of any kind. 1942305677 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Koeneke MD are for informational purposes only.