Individual
TRAVIS J BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5295 PRESERVE PKWY STE 260, HOOVER, AL 35244-4703
(205) 380-9761
(205) 380-1957
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 749-7909
(502) 749-9397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1080
AL
363A00000X
Physician Assistant
Primary
PA2102
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100422800
—
KY
Enumeration date
09/22/2015
Last updated
09/17/2019
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