Individual
TRAVIS KACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 PRATHER PATH STE 1200, GEORGETOWN, KY 40324-9209
(502) 603-5220
Mailing address
90 KINGSTON XING APT 2107, BOSSIER CITY, LA 71111-6293
(253) 569-8675
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225316
LA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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