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Individual

KIMBERLY RENEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(731) 394-1145
Mailing address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(270) 775-5189

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014394
KY
363LP2300X
Primary Care Nurse Practitioner
3014394
KY

Other

Enumeration date
02/25/2020
Last updated
07/26/2021
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