Travis Kanaly is a Neurology in Edmond, Oklahoma. Travis Kanaly practices all healthcare services and medical treatments related to Neurology. The NPI Number for Travis Kanaly is 1750594099. The last update date is 2019-11-04.
Travis Kanaly's current location address is 1705 Renaissance Blvd Ste 120, Edmond, Oklahoma. You can contact this provider via phone number 4058448572 and fax number 4058449143. The mailing address for Travis Kanaly is 1705 Renaissance Blvd Ste 120, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Kanaly |
|---|---|
| Address | 1705 Renaissance Blvd Ste 120, Edmond, Oklahoma |
| Phone Number | 4058448572 |
| Fax Number | 4058449143 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750594099 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2019-11-04 |
Provider Mailing Address Detail
| Address | 1705 Renaissance Blvd Ste 120 |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 73013 |
| Phone Number | 4058448572 |
| Fax Number | 4058449143 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 24574 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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What is the unique 10-digit identification code issued to Travis Kanaly by the Centers for Medicare & Medicaid Services?
The Travis Kanaly has been assigned the NPI (National Provider Identifier) 1750594099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Travis Kanaly is physically located?
The Travis Kanaly is situated at the following address: 1705 Renaissance Blvd Ste 120, Edmond, OK 73013.
What is Travis Kanaly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Travis Kanaly is Neurology, and the taxonomy classification code that categorizes this area of expertise is 2084N0400X.
On what date did the Travis Kanaly receive its 1750594099 assignment from the Centers for Medicare & Medicaid Services?
The Travis Kanaly was assigned its 1750594099 by the Centers for Medicare & Medicaid Services on 2007-05-07.
When was the information pertaining to Travis Kanaly most recently updated or revised?
The details related to Travis Kanaly, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-04.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC