Individual
KENNETH EARL DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3496
(571) 231-3466
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3496
(571) 231-3466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001151127
VA
363LF0000X
Family Nurse Practitioner
0001151127
VA
Other
Enumeration date
01/30/2017
Last updated
09/17/2025
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