Kanaly, Travis
Kanaly, Travis is an individual health care provider with primary practice located at 1705 Renaissance Blvd Ste 120 , Edmond OK 73013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kanaly, Travis can be contacted via phone (405) 844-8572.Contact Information
Primary practice address
1705 Renaissance Blvd Ste 120
Edmond OK 73013
Phone: (405) 844-8572
Fax: (405) 844-9143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 24574 | Oklahoma |
Profile Details
| NPI number | 1750594099 |
|---|---|
| LBN Legal business name | Kanaly, Travis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Nov 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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