| NPI | 1588581383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS BOYD Plastic Surgeon 502-468-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |