Konzelman, Travis C

Konzelman, Travis C is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Konzelman, Travis C can be contacted via phone (706) 722-9011.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901
Phone: (706) 722-9011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN199709 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN199709 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN199709 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X RN199709 Georgia

Profile Details

NPI number 1407247158
LBN Legal business name Konzelman, Travis C
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated Aug 28th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407247158 NPPES
Georgia Other RN199709 GA LICENSE

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