Davis, Kelly S

Davis, Kelly S is an individual health care provider with primary practice located at 335 E Main St , Saint Anthony ID 83445-1546. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Kelly S can be contacted via phone (208) 356-4900.

Contact Information

Primary practice address
335 E Main St Saint Anthony ID 83445-1546
Phone: (208) 356-4900
Fax: (208) 356-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-203118 Idaho

Profile Details

NPI number 1306140827
LBN Legal business name Davis, Kelly S
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2010
Last updated Sep 17th, 2020 - about 5 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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