Davis, Yvonne Maddela

Davis, Yvonne Maddela is an individual health care provider with primary practice located at 471 Klutey Park Plaza Dr , Henderson KY 42420-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Yvonne Maddela can be contacted via phone (270) 830-6100.

Contact Information

Primary practice address
471 Klutey Park Plaza Dr Henderson KY 42420-3347
Phone: (270) 830-6100
Fax: (270) 826-3089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4417P Kentucky

Profile Details

NPI number 1255437463
LBN Legal business name Davis, Yvonne Maddela
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 14th, 2020 - about 4 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 1255437463 NPPES
Kentucky MEDICAID 78013562

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