Davis, Karen Michelle

Davis, Karen Michelle is an individual health care provider with primary practice located at 1430 Olive St , Saint Louis MO 63103-2303. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Davis, Karen Michelle can be contacted via phone (314) 753-7999.

Contact Information

Primary practice address
1430 Olive St Saint Louis MO 63103-2303
Phone: (314) 753-7999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 20100006817 Missouri

Profile Details

NPI number 1194263517
LBN Legal business name Davis, Karen Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194263517 NPPES
Missouri MEDICAID 000343560

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