Individual
MS. LAURA ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 HOSPITAL DR, SUITE # 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 633-3525
(502) 633-3825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00796
NC
363A00000X
Physician Assistant
Primary
PA1183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100129070
—
KY
Enumeration date
10/01/2008
Last updated
11/19/2010
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