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Individual

DR. TRAVIS CLAY SEWALLS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1107 W LEXINGTON AVE, WINCHESTER, KY 40391-1169
(859) 745-3500
Mailing address
741 QUISENBERRY LN, WINCHESTER, KY 40391-8066

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38735
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64061559
KY
Enumeration date
06/14/2006
Last updated
07/09/2007
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