Individual
KELLY RAE DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(859) 803-7299
Mailing address
11183 WAR ADMIRAL DR, UNION, KY 41091-2503
(859) 803-7299
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0030826
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/15/2021
Last updated
02/25/2022
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