Individual
MR. JOHN ONEAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2606 OLD ROSEBUD RD, LEXINGTON, KY 40509-4477
(859) 230-6569
Mailing address
2606 OLD ROSEBUD RD, LEXINGTON, KY 40509-4477
(859) 230-6569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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