Individual
MR. KENDALL LAMONT DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 ENWOOD DR, SAINT PETERS, MO 63376-4667
(402) 522-6184
Mailing address
1603 ENWOOD DR, SAINT PETERS, MO 63376-4667
(402) 522-6184
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
MO
385H00000X
Respite Care
—
MO
385HR2055X
Child Mental Illness Respite Care
Primary
—
MO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
MO
385HR2065X
Child Physical Disabilities Respite Care
—
MO
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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