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Individual
HARLEY JOSEPH DAVIS
Active
Individual
HARLEY JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1159978
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4051375
KY
Other
Enumeration date
04/02/2019
Last updated
03/05/2026
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