Individual
ANTHONY D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TARGETED CASE MANAGE
Contact information
Practice address
4010 DUPONT CIR STE 226, ST MATTHEWS, KY 40207-4847
(502) 896-8006
Mailing address
9905 BLUE LICK RD, LOUISVILLE, KY 40229-1843
(502) 822-9936
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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