Individual
KELVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
100 CHANDLER DR APT F, GREENVILLE, NC 27834-6034
(252) 702-9422
Mailing address
100 CHANDLER DR APT F, GREENVILLE, NC 27834-6034
(252) 702-9422
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
A-5156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
BCBS OF NC
NC
05
—
7492792
—
NC
Enumeration date
04/22/2008
Last updated
08/11/2011
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