Davis, Kenley Brent

Davis, Kenley Brent is an individual health care provider with primary practice located at 17222 Hospital Blvd Suite 326, Brooksville FL 34601-8925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Kenley Brent can be contacted via phone (352) 544-6145.

Contact Information

Primary practice address
17222 Hospital Blvd Suite 326 Brooksville FL 34601-8925
Phone: (352) 544-6145
Fax: (352) 688-9189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME94305 Florida

Profile Details

NPI number 1841303559
LBN Legal business name Davis, Kenley Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Oct 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841303559 NPPES
Florida Other 30162Y MEDICARE ID
Florida MEDICAID 274800200 MEDICARE ID
Florida Other 30162 MEDICARE ID

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