Individual
KATHLEEN L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5430 MILITARY TRAIL, STE 64, JUPITER, FL 33458-2873
(561) 263-7010
Mailing address
P.O. BOX 9218, JUPITER, FL 33468-9218
(561) 263-7010
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP3275952
FL
Other
Enumeration date
09/19/2018
Last updated
11/24/2020
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