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Individual

JENNIFER COKE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-7768
Mailing address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
(270) 465-7768

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104146109
KY
Enumeration date
01/28/2020
Last updated
01/28/2020
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