Individual
CHARLIE CLAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 HOSPITAL DR, MADISONVILLE, KY 42431-1658
(270) 326-3800
(270) 326-3805
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3012631
KY
Other
Enumeration date
10/03/2018
Last updated
12/03/2020
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