Individual
KERRY K DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12337 HANCOCK ST, STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Mailing address
12337 HANCOCK ST, STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006630A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163980
—
IN
05
—
201178980A
—
IN
01
—
IN1231
MEDICARE GROUP
IN
Enumeration date
09/13/2012
Last updated
12/04/2015
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