Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5026 | KY |
NPI | 1558441675 |
---|---|
Provider Name | Dr. Travis Daniel Day |
First Address | New Castle, KY 40050-1467 |
Second Address | New Castle, KY 40050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 05/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100195450 | (05) | KY |