Davis, Kevin W

Davis, Kevin W is an individual health care provider with primary practice located at 312 Northcrest Dr , Springfield TN 37172-3963. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Davis, Kevin W can be contacted via phone (615) 384-3112.

Contact Information

Primary practice address
312 Northcrest Dr Springfield TN 37172-3963
Phone: (615) 384-3112
Fax: (615) 382-7332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00302 Kentucky
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 302 Kentucky

Profile Details

NPI number 1326047119
LBN Legal business name Davis, Kevin W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 10th, 2008 - about 16 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 1326047119 NPPES
Other 4179406 BLUE CROSS BLUE SHIELD TENNESSEE
Other P00419400 BLUE CROSS BLUE SHIELD TENNESSEE
Other 90004391 BLUE CROSS BLUE SHIELD TENNESSEE
MEDICAID 80900319 BLUE CROSS BLUE SHIELD TENNESSEE
MEDICAID 3736461 BLUE CROSS BLUE SHIELD TENNESSEE
MEDICAID 80000565 BLUE CROSS BLUE SHIELD TENNESSEE
Other DF9516 BLUE CROSS BLUE SHIELD TENNESSEE
MEDICAID 3353857 BLUE CROSS BLUE SHIELD TENNESSEE

Popular Providers