Individual
DR. JUSTIN TRAVIS GAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 S LIMESTONE CTW 304, LEXINGTON, KY 40536
(859) 323-9918
(859) 323-1197
Mailing address
1932 ALCOA HWY, STE 255, KNOXVILLE, TN 37920-1508
(865) 244-2030
(865) 684-1196
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
62873
TN
207W00000X
Ophthalmology Physician
R4397
KY
Other
Enumeration date
03/22/2017
Last updated
05/10/2021
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