Kenneth R Travnicek, | |
401 W Glynn Dr, Parkston, SD 57366-9605 | |
(605) 928-3311 | |
(605) 928-7368 |
Full Name | Kenneth R Travnicek |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 401 W Glynn Dr, Parkston, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871749861 | NPI | - | NPPES |
4997801 | Other | SD | WELLMARK BLUE CROSS BLUE SHIELD |
R014620 | Other | SD | DAKOTACARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CR000113 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Travnicek, 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 | Kenneth R Travnicek, 401 W Glynn Dr, Parkston, SD 57366-9605 Ph: (605) 928-3311 |
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› Verified 5 days ago
Nicholas Patrick Kummer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 W Glynn Dr, Parkston, SD 57366 Phone: 605-928-3311 |