Individual
KYA COREISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
440 KNOX ABBOTT DR STE 400, CAYCE, SC 29033-4353
(843) 501-1099
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(843) 501-1099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024001848
SC
Other
Enumeration date
04/01/2024
Last updated
05/22/2025
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