Individual
MR. TRAVIS O'NEIL PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
7601 CARMIL CT, LOUISVILLE, KY 40291-2931
(502) 533-6924
Mailing address
7601 CARMIL CT, LOUISVILLE, KY 40291-2931
(502) 533-6924
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA161
KY
Other
Enumeration date
06/09/2009
Last updated
12/05/2016
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