Individual
TRAVIS SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2355 POPLAR LEVEL RD STE 405, LOUISVILLE, KY 40217-1389
(502) 636-7845
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
57649
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2017
Last updated
08/02/2023
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