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Individual

KATHRYN LOUISE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNCNP

Contact information

Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-6600
(910) 907-8697
(910) 907-8631
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-8697
(910) 907-7463

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
78142
CO
363LW0102X
Women's Health Nurse Practitioner
DAV1-0430-4965
CO

Other

Enumeration date
03/21/2007
Last updated
12/05/2019
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