Individual
KAITLIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4152
(440) 204-5700
Mailing address
10315 THORPE RD, BERLIN HEIGHTS, OH 44814-9565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027404
OH
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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