Individual
CASI TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
Mailing address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2041659
KY
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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