Individual
AMY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
737B NORTH DR, HOPKINSVILLE, KY 42240
(270) 890-1780
(270) 890-1789
Mailing address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2024747
KY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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