Individual
KELLY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
565 SPACE CENTER DR, COLORADO SPRINGS, CO 80915-3609
(719) 201-7284
Mailing address
4331 TROUT CREEK RD, WOODLAND PARK, CO 80863-8424
(719) 201-7284
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0172013
CO
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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