Individual
KELLY M DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374
(623) 523-8590
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN173014
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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