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Individual

KEALANI DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2309 DEVINE ST, COLUMBIA, SC 29205-2422
(864) 238-3878
Mailing address
4811 EDWARDS RD, TAYLORS, SC 29687-2805
(864) 238-3878

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1808
SC

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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