Individual
KAITLIN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
483 COURT ST, ELIZABETH, WV 26143-1109
(304) 275-3301
Mailing address
483 COURT ST, ELIZABETH, WV 26143-1109
(304) 275-3301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108752
WV
Other
Enumeration date
03/28/2021
Last updated
01/27/2022
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