Individual
KYLE PERRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 EUREKA RD, DEPT EMERGENCY MEDICINE, ROSEVILLE, CA 95661-3027
(916) 784-5838
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A126984
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2010
Last updated
12/15/2021
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