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Travis Carroll
Student in an Organized Health Care Education/Training Program in Louisville, Kentucky
NPI 1255868295

Travis Carroll is a Student in an Organized Health Care Education/Training Program based in Louisville, KY. Travis Carroll practices in Louisville, KY. The NPI Number for Travis Carroll is 1255868295 and holds a License No. 59114 (Kentucky).

The current practice location address for Travis Carroll is 3900 Kresge Way Ste 60, Louisville, KY and can be reached out via phone at 502-893-7710 and via fax at 502-893-1391.

Location: 3900 Kresge Way Ste 60, Louisville, KY, 40229-2182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255868295
Provider Name
Travis Carroll
Credential
Provider Entity Type
Individual
Gender
Male
Address
3900 Kresge Way Ste 60, Louisville, KY, 40229-2182
Phone Number
502-893-7710
Fax Number
502-893-1391
Provider Enumeration Date
05/22/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
3900 Kresge Way Ste 60
City
Louisville
State
Kentucky
Zip
40207-4690
Phone Number
502-893-7710
Fax Number
502-893-1391
person
Provider Business Mailing Address Details
Address
3900 Kresge Way Ste 60
City
Louisville
State
Kentucky
Zip
40207-4690
Phone Number
502-893-7710
Fax Number
502-893-1391
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
59114 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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