Individual
MRS. NICOLE ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 BRECKENRIDGE ST, SUITE 300, OWENSBORO, KY 42303-0839
(270) 688-4480
(270) 688-4489
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03827
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100361980
—
KY
Enumeration date
04/06/2012
Last updated
11/27/2023
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