Individual
KEVIN JAMAAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
505 CENTRAL AVE APT 422, WHITE PLAINS, NY 10606-1543
(518) 253-0733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
747212
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
747212-01
NY
Other
Enumeration date
10/01/2021
Last updated
05/17/2026
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