Individual
KELLY J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,MSN.NP
Contact information
Practice address
3802 POPLAR HILL RD, SUITE C, CHESAPEAKE, VA 23321-5531
(757) 483-4600
(757) 483-9350
Mailing address
3802 POPLAR HILL RD, SUITE C, CHESAPEAKE, VA 23321-5531
(757) 673-8383
(757) 483-9350
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024167309
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024167309
NP LICENSE
VA
05
—
1609994151
—
VA
Enumeration date
03/26/2007
Last updated
06/13/2011
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