Individual
TRAVIS KIMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 COLLEGE DR, GARDEN CITY, KS 67846-6183
(620) 275-7248
Mailing address
502 COLLEGE DR, GARDEN CITY, KS 67846-6183
(620) 275-7248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-44919
KS
208600000X
Surgery Physician
04-44919
KS
Other
Enumeration date
04/04/2017
Last updated
10/23/2023
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