Individual
KISHA CAROL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
9260 HIGHWAY 25, CALERA, AL 35040-6803
(205) 784-5643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-061705
AL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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