Davis, Kenneth Joel

Davis, Kenneth Joel is an individual health care provider with primary practice located at 865 Ocean View Dr , Toms River NJ 08753-4467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davis, Kenneth Joel can be contacted via phone (732) 929-0577.

Contact Information

Primary practice address
865 Ocean View Dr Toms River NJ 08753-4467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA01970800 New Jersey

Profile Details

NPI number 1952372070
LBN Legal business name Davis, Kenneth Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 10th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952372070 NPPES
New Jersey MEDICAID 2795108

Popular Providers