SearchKentucky1223P0221X

Randolph Travis, DMD

NPI 1407862626 · on the registry since 2006 · sole proprietor

Practice

Address
1400 Pride Avenue
Madisonville, KY 42431
Phone
(270) 821-7386
Fax
(270) 821-7401
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
1223P0221X
1223P0221X
1223G0001X
Licence states on file
KY, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky