Individual
TRAVIS E CORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 LEXINGTON ST, VERSAILLES, KY 40383-1240
(859) 873-5656
(859) 873-5657
Mailing address
290 LEXINGTON ST, VERSAILLES, KY 40383-1240
(859) 873-5656
(859) 873-5657
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1484
TN
237700000X
Hearing Instrument Specialist
Primary
168362
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1484
HEARING DISPENSER LICENSE
TN
01
—
168362
HEARING DISPENSER LICENSE
KY
Enumeration date
09/20/2013
Last updated
12/19/2016
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