Individual
MR. KENNETH JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 S FAIRFAX ST, DENVER, CO 80246-3135
(303) 993-2629
(303) 993-2934
Mailing address
101 S FAIRFAX ST, DENVER, CO 80246-3135
(303) 993-2629
(303) 993-2934
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49583735
—
CO
Enumeration date
03/06/2007
Last updated
02/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us