Individual
TRAVIS KOENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8301 POSITANO DR, MANHATTAN, KS 66502-4861
(785) 320-5725
(785) 320-5743
Mailing address
818 N EMPORIA ST STE 403, WICHITA, KS 67214-3728
(316) 262-4467
(316) 262-3762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23779
NE
207RH0003X
Hematology & Oncology Physician
Primary
0433608
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200606100C
—
KS
Enumeration date
09/14/2006
Last updated
04/02/2026
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