Individual
TRAVIS V FARHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8426
(270) 798-8630
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8426
(270) 798-8630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004476A
IN
363A00000X
Physician Assistant
Primary
3713
TN
363AS0400X
Surgical Physician Assistant
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—
Other
Enumeration date
08/16/2007
Last updated
05/01/2025
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