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1750594099
TRAVIS KANALY
EDMOND, OK
NPI
1750594099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OK 24574)
Enumeration Date
2007-05-07
Last Update Date
2019-11-04
Business Address
TRAVIS KANALY M.D.
1705 RENAISSANCE BLVD STE 120
EDMOND, OK 73013
Phone number: 405-844-8572
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Mailing Address
TRAVIS KANALY M.D.
1701 RENAISSANCE BLVD STE 110
EDMOND, OK 73013-3084
Phone number: 405-844-4978
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