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Individual
KENYATT RENEE DAVIS
Active
Individual
KENYATT RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95035164
CA
Other
Enumeration date
07/18/2025
Last updated
05/21/2026
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