Individual
KATHRYN ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-8893
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008441
NC
363LF0000X
Family Nurse Practitioner
Primary
71009996A
IN
Other
Enumeration date
03/08/2016
Last updated
08/30/2022
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