Davis, Kelly Diane

Davis, Kelly Diane is an individual health care provider with primary practice located at 970 N Kalaheo Ave Ste A101 , Kailua HI 96734-1868. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Davis, Kelly Diane can be contacted via phone (808) 254-2339.

Contact Information

Primary practice address
970 N Kalaheo Ave Ste A101 Kailua HI 96734-1868
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X HI-01081900 New Jersey
Dental Providers / Dental Hygienist 124Q00000X DH-2142 Hawaii

Profile Details

NPI number 1518532134
LBN Legal business name Davis, Kelly Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 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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