Individual
KAELEN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 379-4441
Mailing address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 379-4441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28282677A
IN
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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