Individual
ALYSSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ACADEMIC-ATHLETIC CENTER, MOREHEAD, KY 40351
(606) 783-2089
Mailing address
685 OAKRIDGE DR, UNION, KY 41091-9013
(859) 384-0568
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT1474
KY
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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