Individual
KETLYE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 LLOYD DR, KILLEEN, TX 76549-3722
(254) 319-2234
Mailing address
4308 LLOYD DR, KILLEEN, TX 76549-3722
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
732268
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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