Individual
KEVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-2737
(304) 598-8900
Mailing address
1111 VAN VOORHIS RD STE 2, MORGANTOWN, WV 26505-2737
(304) 598-8900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54136
WV
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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