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Individual

DR. KEVIN W DAVIS

Active
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Individual

DR. KEVIN W DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00302
KY
213ES0131X
Foot Surgery Podiatrist
302
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353857
—
TN
05
—
3736461
—
TN
01
—
4179406
BLUE CROSS BLUE SHIELD TENNESSEE
—
05
—
80000565
—
KY
05
—
80900319
—
KY
01
—
90004391
MEDICAID DME
KY
01
—
DF9516
RAILROAD MEDICARE
KY
01
—
P00419400
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
07/10/2008
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