Travis Lane Thibault
NPI #1861990566 in De Soto, Kansas
Provider Information
- NPI Number
- 1861990566
- Entity Type
- Individual
- Name
- Travis Lane Thibault
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 28, 2018
- Last Updated
- Jul 27, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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