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Individual

BRIAN E DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004151
KY
363LF0000X
Family Nurse Practitioner
3004151
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78011319
KY
Enumeration date
10/19/2005
Last updated
02/21/2019
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