Individual
ANGELINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
900 W MARKET ST, LOUISVILLE, KY 40202-2600
(502) 500-9176
Mailing address
PO BOX 16004, LOUISVILLE, KY 40256-0004
(502) 500-9176
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KY
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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