Individual
KENZIE MIDGETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 MOYE BLVD, GREENVILLE, NC 27834-4169
(252) 752-7133
Mailing address
208 FIELD ST, GREENVILLE, NC 27858-8708
(252) 531-0752
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5014787
NC
363LP2300X
Primary Care Nurse Practitioner
DAVI-GFHQC
NC
Other
Enumeration date
07/23/2021
Last updated
07/28/2021
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