Organization
ALLIANCE LONG TERM CARE CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTY SHANE TRAYLOR O.D. (REGISTERED AGENT MEMBER)
(270) 993-2841
Entity
Organization
Contact information
Practice address
3720 W PARRISH AVE, OWENSBORO, KY 42301-3325
(270) 993-2841
Mailing address
3720 W PARRISH AVE, OWENSBORO, KY 42301-3325
(270) 993-2841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
09/11/2025
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