Davis, Kenisha
Davis, Kenisha is an sole proprietor health care provider with primary practice located at 16266 Prince Dr , South Holland IL 60473-3233. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Kenisha can be contacted via phone (708) 222-7333.Contact Information
Primary practice address
16266 Prince Dr
South Holland IL 60473-3233
Phone: (708) 222-7333
Fax: (708) 221-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277001991 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71008626A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71008626A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 251171 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 277001991 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 251171 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.017812 | Illinois |
Profile Details
| NPI number | 1033604954 |
|---|---|
| LBN Legal business name | Davis, Kenisha |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2018 |
| Last updated | Jan 31st, 2023 - about last year |
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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