Provider Demographics
NPI:1699181339
Name:RUMP, TRAVIS I (DO)
Entity type:Individual
Prefix:
First Name:TRAVIS
Middle Name:
Last Name:RUMP
Suffix:I
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S. SANTA FE AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401
Mailing Address - Country:US
Mailing Address - Phone:785-452-7366
Mailing Address - Fax:785-452-7354
Practice Address - Street 1:520 S. SANTA FE AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401
Practice Address - Country:US
Practice Address - Phone:785-452-7366
Practice Address - Fax:785-452-7354
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-37607207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201245520AMedicaid