Individual
KARA DANIELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 CRISTLAND RD, LOUISVILLE, KY 40214-4150
(502) 367-0104
(502) 368-5208
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3016170
KY
363LF0000X
Family Nurse Practitioner
Primary
3016170
KY
Other
Enumeration date
12/02/2021
Last updated
12/14/2021
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