Individual
MR. TRAVIS LYNN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 S 1ST ST, IOLA, KS 66749-3505
(620) 365-1185
Mailing address
201 S SUNSET AVE, CHANUTE, KS 66720-5289
(913) 424-4983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00806
KS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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