Individual
KELLY ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19446 PARKER ST, LIVONIA, MI 48152-1579
(248) 760-2090
Mailing address
19446 PARKER ST, LIVONIA, MI 48152-1579
(248) 760-2090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273310
MI
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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