Individual
BENJAMIN RYAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, RN
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1795
(270) 745-1000
Mailing address
551 COLLIER LN, GALLATIN, TN 37066-8262
(615) 478-5141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000228440
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
147150
KY
Other
Enumeration date
08/19/2021
Last updated
02/08/2024
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