Individual
TRAVIS SETH PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 526-8334
(606) 526-8338
Mailing address
293 VINE VIEW DR, CORBIN, KY 40701-9540
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017373
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
017473
KY
Other
Enumeration date
08/28/2020
Last updated
03/08/2022
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