Individual
MR. KENT CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 3RD ST N, WAITE PARK, MN 56387-1177
(320) 253-4120
(320) 253-4179
Mailing address
411 3RD ST N STE 4, WAITE PARK, MN 56387-0003
(320) 253-4120
(320) 253-4179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31759
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110587C851
UCARE
—
01
—
1520376
MEDICA
—
05
—
561597600
—
MN
01
—
8L641DA
BCBS
—
01
—
92224583001
PREFERRED ONE
—
01
—
HP25413
HEALTH PARTNERS
—
Enumeration date
06/15/2006
Last updated
01/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us