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Individual

KAELI O DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2800 GODWIN BLVD, SUFFOLK, VA 23434-8038
(757) 967-8622
(757) 686-0541
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 967-8622
(757) 686-0541

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001312152
VA
363L00000X
Nurse Practitioner
Primary
0024194385
VA

Other

Enumeration date
08/05/2025
Last updated
08/25/2025
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