Davis, Kern M

Davis, Kern M is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Davis, Kern M can be contacted via phone (727) 328-7800.

Contact Information

Primary practice address
1200 7Th Ave N St Petersburg FL 33705-1300
Phone: (727) 328-7800
Fax: (727) 328-9555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0039156 Florida

Profile Details

NPI number 1194822726
LBN Legal business name Davis, Kern M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 23rd, 2018 - about 6 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 1194822726 NPPES
Florida MEDICAID 049628600

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