Individual
KEVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
396 HIGHWAY 899, HINDMAN, KY 41822-8953
(606) 785-9440
Mailing address
70 HOLLY HILLS MALL RD, HINDMAN, KY 41822-9121
(606) 785-9440
(606) 785-9645
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA244
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002440
—
KY
Enumeration date
08/01/2006
Last updated
11/12/2024
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