Nickelson, Travis Ryan

Nickelson, Travis Ryan is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Nickelson, Travis Ryan can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218-1607
Phone: (316) 685-2221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 53-76159 Kansas

Profile Details

NPI number 1780012997
LBN Legal business name Nickelson, Travis Ryan
Credentials MSN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2013
Last updated Oct 24th, 2013 - about 11 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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