Koeneke, Travis

Koeneke, Travis is an individual health care provider with primary practice located at 1133 College Ave Suite E-110, Manhattan KS 66502-2770. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Koeneke, Travis can be contacted via phone (785) 537-2651.

Contact Information

Primary practice address
1133 College Ave Suite E-110 Manhattan KS 66502-2770
Phone: (785) 537-2651
Fax: (785) 537-4276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23779 Nebraska
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0433608 Kansas

Profile Details

NPI number 1942305677
LBN Legal business name Koeneke, Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 22nd, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942305677 NPPES
Kansas MEDICAID 200606100C

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