Individual
JEFFREY WILLIAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8635
(859) 824-0724
Mailing address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8699
(859) 824-0724
(859) 824-0734
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111518
KY
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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