Individual
TRAVIS DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCM
Contact information
Practice address
70 MAIN ST, FRENCHBURG, KY 40322-8318
(160) 676-8213
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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