Individual
KENNETH W TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DARMOUTH HITCHOCK MED CT, ONE MEDICAL CTRE DRIVE, LEBANON, NH 03756
(603) 650-2908
Mailing address
595 RIVERVIEW DR, CHATHAM, MA 02633-1117
(603) 650-2908
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30480
MA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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