Individual
KRISTEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 E MCMURTRY AVE, HARTFORD, KY 42347-1647
(270) 504-1300
Mailing address
6076 MILLERSTOWN RD, CLARKSON, KY 42726-8133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1156850
KY
363LF0000X
Family Nurse Practitioner
Primary
3016581
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016581
LICENSE
KY
Enumeration date
05/15/2020
Last updated
08/31/2021
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