Individual
MS. KATHY DAI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM HEIGHTS, MD 21090-2958
(443) 323-3014
(855) 212-5249
Mailing address
813 MAIDEN CHOICE LN, BALTIMORE, MD 21228-3679
(410) 402-2258
(410) 204-7279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R144682
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221809
AMERIGROUP
—
01
—
152584ZDVX
MEDICARE
MD
01
—
416893300
MEDICAL ASSISTANCE
MD
01
—
94951602
CAREFIRST
MD
01
—
E402 0022
CAREFIRST
DC
01
—
P00726215
RAILROAD MEDICARE
GA
Enumeration date
01/10/2007
Last updated
06/27/2024
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