Travis, Damon K.

Travis, Damon K. is an individual health care provider with primary practice located at 2820 E. Rock Haven Rd. Suite 100, Harrisonville MO 64701-2082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Travis, Damon K. can be contacted via phone (816) 380-3582.

Contact Information

Primary practice address
2820 E. Rock Haven Rd. Suite 100 Harrisonville MO 64701-2082
Phone: (816) 380-3582
Fax: (816) 380-6964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9F85 Missouri

Profile Details

NPI number 1578583852
LBN Legal business name Travis, Damon K.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578583852 NPPES
Other 5316070 AETNA
Other 12635097 AETNA
MEDICAID 242267102 AETNA

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