Individual
TRAVIS HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
(270) 789-0584
Mailing address
725 CAMPBELLSVILLE BYP, CAMPBELLSVILLE, KY 42718-8846
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110523
KY
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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