Individual
KAREN MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 753-7999
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 753-7999
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
20100006817
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000343560
—
MO
Enumeration date
02/06/2017
Last updated
02/06/2017
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