TRAVIS CHARLES WOOLDRIDGE CSA NPI 1922445832

NPI Information

NPI: 1922445832
Provider Name: TRAVIS CHARLES WOOLDRIDGE, CSA
Classification: - 246ZS0400X
Entity Type: Individual
Address:
520 KELLY RD
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 993-5259
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Travis Charles Wooldridge, CSA is a healthcare provider in Bowling Green, KY. Travis Charles Wooldridge, CSA NPI is 1922445832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 KELLY RD
BOWLING GREEN, KY
ZIP 42101-557
Phone: (270) 993-5259

The enumeration date for this NPI number is 5/31/2013 and was last updated on 5/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZS0400X					Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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