Individual
TRAVIS CHARLES WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
520 KELLY RD, BOWLING GREEN, KY 42101-9557
(270) 993-5259
Mailing address
520 KELLY RD, BOWLING GREEN, KY 42101-9557
(270) 993-5259
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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