Individual
KAYLEEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 814-2115
Mailing address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 814-2115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML61436515
WA
Other
Enumeration date
06/24/2013
Last updated
07/19/2023
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