TRAVIS RYAN NICKELSON

WICHITA, KS
NPI1780012997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: KS  53-76159)
Enumeration Date2013-10-24
Last Update Date2013-10-24
Business Address
Mr. TRAVIS RYAN NICKELSON MSN, APRN
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Mailing Address
Mr. TRAVIS RYAN NICKELSON MSN, APRN
13809 W ALDERNY ST
WICHITA, KS 67235-7040
Phone number: 620-727-7537
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