# MR. KENDALL LAMONT DAVIS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588521892
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | MO | — |
| 385H00000X | Respite Care | — | MO | — |
| 385HR2055X | Child Mental Illness Respite Care | — | MO | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | MO | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | MO | — |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 01/07/2026
