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Individual
KATHRYN M DAVIS
Active
Individual
KATHRYN M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3006500
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71003200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP #
—
01
—
000000653631
ANTHEM
—
01
—
100386460
MEDICAID GROUP
IN
01
—
1487872636
RAILROAD GROUP NUMBER ARNP
—
01
—
160780
MEDICARE GROUP
IN
01
—
160860
MEDICARE GROUP
IN
05
—
200977990
—
IN
01
—
2444451000
PASSPORT GROUP
KY
01
—
50029506
PASSPORT
KY
01
—
50704000
MAGELLAN GROUP MIS
—
01
—
65927857
MEDICAID GROUP
KY
01
—
6764
MEDICARE GROUP
KY
05
—
7100113360
—
KY
01
—
78903689
MEDICAID ARNP GROUP
KY
01
—
82900176
MEDICAID THERAPY GROUP
KY
01
—
CG2274
MEDICARE RAILROAD GROUP
IN
01
—
P00830157
RAILROAD MEDICARE #
IN
01
—
P00830158
RAILROAD MEDICARE #
KY
Enumeration date
03/04/2010
Last updated
08/15/2015
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