Individual
TRAVIS AARON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1130 W 4TH ST STE 3203, LAWRENCE, KS 66044-1345
(785) 505-5020
(785) 505-5260
Mailing address
711 E GARFIELD ST LOT 45, OTTAWA, KS 66067-1580
(785) 248-9219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004875470001
—
KS
Enumeration date
10/04/2022
Last updated
02/14/2023
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