PHILIP RAY TRAVIS

LOUISVILLE, KY
NPI1699983833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  6111)
Enumeration Date2007-05-20
Last Update Date2013-11-15
Business Address
Dr. PHILIP RAY TRAVIS DMD
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401
Mailing Address
Dr. PHILIP RAY TRAVIS DMD
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401