Davis, Kelly

Davis, Kelly is an individual health care provider with primary practice located at 54771 Mckenzie Hwy , Blue River OR 97413-9790. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Davis, Kelly can be contacted via phone (541) 822-3341.

Contact Information

Primary practice address
54771 Mckenzie Hwy Blue River OR 97413-9790
Phone: (541) 822-3341
Fax: (541) 822-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1386220523
LBN Legal business name Davis, Kelly
Credentials CHW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2021
Last updated Oct 1st, 2021 - about 4 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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