Individual
MR. TRAVIS KOOCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3091
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3091
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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