Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS GLENN WHITESIDES, PA-C
Active Sole ProprietorTRAVIS GLENN WHITESIDES, PA-C is a Medical Physician Assistant healthcare provider located in BURLINGTON, Kansas. NPI 1689923732 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BURLINGTON, KS
Registration Details
- NPI Number
- 1689923732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2012 (13.757407789697 yrs)
- Last Updated
- Sep 23, 2019
- Licenses
-
2019017032 (MO)15-01559 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 SANDERS STBURLINGTON, KS, 668392616Browse KS providers · Browse ZIP 66839
- Phone
- 6203642121
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.