NPI
Travis Lane Thibault
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-01-28
- Last updated
- 2021-07-27
Specialties
Licenses
- License MO
- 2018001755
- License KS
- 78038
Location
- Practice location
- 8438 Timber Ridge Dr
- City
- De Soto KS
- Postal code
- 66018-7122
- Phone
- (913) 260-9250
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in De Soto, KS. 36 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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