Individual
DR. EVAN M DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9880 ANGIES WAY STE 420, LOUISVILLE, KY 40241
(502) 394-6200
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51086
KY
207Q00000X
Family Medicine Physician
R3662
KY
Other
Enumeration date
06/24/2013
Last updated
03/31/2021
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