TRAVIS KANALY M.D.
NPI 1750594099
Psychiatry & Neurology - Neurology in Edmond, OK

Active since May 07, 2007
1705 RENAISSANCE BLVD STE 120, EDMOND, OK 73013(405) 844-8572(405) 844-9143 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2019, Aug 22, 2019, Jan 16, 2019 and 1 more (4 updates tracked since 2018).

About Travis Kanaly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS KANALY M.D. (NPI 1750594099) is an individual neurology provider in Edmond, Oklahoma, licensed in Oklahoma (24574) and active in the NPI registry since May 2007. He maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1750594099
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTRAVIS KANALYCredential: M.D.
Location Address1705 RENAISSANCE BLVD STE 120Edmond, OK 73013
Mailing Address1701 Renaissance Blvd Ste 110Edmond, OK 73013-3084 · (405) 844-4978 · Fax (405) 844-0562
Fax(405) 844-9143
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateNovember 4, 20194 updates tracked since enumeration
NPI 1750594099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OK · 24574
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1705 RENAISSANCE BLVD STE 120, Edmond, OK 73013

Secondary Practice Location 1

Location 13366 NW Expressway Ste 200Oklahoma City, OK 73112-4416 · Phone (405) 713-9930 · Fax (405) 713-9931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Kanaly's NPI number?

The NPI number for Travis Kanaly is 1750594099. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Travis Kanaly located?

Travis Kanaly practices at 1705 Renaissance Blvd Ste 120, Edmond, OK 73013. The listed phone number is (405) 844-8572.

What is Travis Kanaly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Travis Kanaly was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.