Travis Lane Thibault
Travis Lane Thibault is a Family Nurse Practitioner in De Soto, Kansas. Practices as a sole proprietor. Licensed in Kansas and Missouri.
- Licensed in
- KS, MO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
8438 Timber Ridge DrDe Soto, KS 66018-7122
Phone: (913) 260-9250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 78038 (KS) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 2018001755 (MO) |
Record details
| NPI number | 1861990566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 28, 2018 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 1, 2021 |
| Mailing address | Kansas Emergency Physicians Llc, 9100 W 74th St, Shawnee Mission, KS 66204 |
Other providers in De Soto
-
Advanced Resolution Care LLC
33490 Lexington Ave Ste G, De Soto, KS 66018-8124 · (913) 586-9863
-
Nana Amma Asante
33490 Lexington Ave Ste G, De Soto, KS 66018-8124 · (913) 586-9863
-
William Dolan, APRN, FNP-BC
8960 Commerce Dr Ste 4E, De Soto, KS 66018-8431 · (913) 789-3961