Individual
KELLY JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 504-6422
Mailing address
311 23RD AVE N, NASHVILLE, TN 37203-1503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000171130
TN
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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