Individual
KRISTIN RICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
716 ADAIR AVE, ZANESVILLE, OH 43701-2836
(740) 454-5239
(740) 455-7693
Mailing address
716 ADAIR AVE, ZANESVILLE, OH 43701-2836
(740) 454-5239
(740) 455-7693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-002750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104008242
MUSK NPI - FFS
—
01
—
1205018348
MORGAN NPI - FFS
—
01
—
1528257789
MORGAN NPI - FQHC
—
01
—
1841472982
MUSK NPI - FQHC
—
01
—
2790547
MCAID, MUSK - FQHC
—
01
—
2790574
MCAID, MUSK - FFS
—
01
—
2790583
MCAID,MORGAN - FQHC
—
01
—
2790609
MCAID, MORGAN - FFS
—
01
—
36-1923
MORGAN MEDICARE GROUP
—
01
—
36-1926
MEDICARE GROUP - MUSKINGUM
—
Enumeration date
03/17/2008
Last updated
08/14/2008
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