Davis, Kelly Kathleen

Davis, Kelly Kathleen is an individual health care provider with primary practice located at 410 Lockerman St , Denton MD 21629-1048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Kelly Kathleen can be contacted via phone (410) 479-3075.

Contact Information

Primary practice address
410 Lockerman St Denton MD 21629-1048
Phone: (410) 479-3075
Fax: (833) 914-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R134802 Maryland

Profile Details

NPI number 1659820074
LBN Legal business name Davis, Kelly Kathleen
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Oct 29th, 2020 - 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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