Individual
DR. THERESA L DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 E MAXWELL ST STE 200, LEXINGTON, KY 40508-2622
(859) 323-6211
(859) 257-9821
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100126590
—
KY
Enumeration date
07/03/2008
Last updated
03/09/2022
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