Davis, Laura Elizabeth

Davis, Laura Elizabeth is an individual health care provider with primary practice located at 515 Hospital Dr Suite # 1, Shelbyville KY 40065-1619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Laura Elizabeth can be contacted via phone (502) 633-3525.

Contact Information

Primary practice address
515 Hospital Dr Suite # 1 Shelbyville KY 40065-1619
Phone: (502) 633-3525
Fax: (502) 633-3825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-00796 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1183 Kentucky

Profile Details

NPI number 1366693905
LBN Legal business name Davis, Laura Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Nov 19th, 2010 - about 14 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 1366693905 NPPES
Kentucky MEDICAID 7100129070

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