Individual
MR. KENT CHARLES DAVIS
Active
Individual
MR. KENT CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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