TRAVIS ANGELO KENNON NPI 1992015333

NPI Information

  • NPI: 1992015333
  • Provider Name: TRAVIS ANGELO KENNON
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 5105 SMOKE RANCH RD
    LAS VEGAS, NV
    ZIP 89108
  • Phone: (702) 638-0395

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NPI Details

Travis Angelo Kennon is a rehabilitation practitioner in Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Travis Angelo Kennon NPI is 1992015333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5105 SMOKE RANCH RD
LAS VEGAS, NV
ZIP 89108-536
Phone: (702) 638-0395
Fax: (702) 638-0362

The enumeration date for this NPI number is 10/19/2010 and was last updated on 10/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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