Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 290070 | NY |
N | 111NI0900X | Internist | 290070 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 2015021548 | MO |
N | 2080P0201X | Pediatric Allergist | 04-42465 | KS |
NPI | 1922368539 |
---|---|
Provider Name | Dr. Travis Sifers |
First Address | Kansas City, MO 64111-3315 |
Second Address | Kansas City, MO 64111-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2012 |
Last Update Date | 15/03/2021 |