Individual
MICHAEL KEVIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
316 LANTANA DR, HOCKESSIN, DE 19707-8807
(302) 766-9700
Mailing address
13 LAXFORD DR, NEWARK, DE 19702-4265
(302) 358-1053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011756
DE
Other
Enumeration date
07/12/2022
Last updated
11/14/2023
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