Individual
KELLY KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(888) 805-4551
(202) 364-5183
Mailing address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(888) 805-4551
(202) 364-5183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R134802
MD
Other
Enumeration date
09/27/2016
Last updated
07/29/2024
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