SearchIndiana183500000X

Travis Mainous, RPH

NPI 1538705991 · on the registry since 2019 · sole proprietor

Practice

Address
3701 National Rd E
Richmond, IN 47374
Phone
(765) 935-2074
Fax
(765) 962-3049
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-11-20

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 Indiana