Individual
STEVEN TRAVIS HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 PARK AVE, IRVINE, KY 40336-1032
(606) 975-2068
Mailing address
408 PARK AVE, IRVINE, KY 40336-1032
(606) 975-2068
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA422
KY
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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