Individual
CHRISTOPHER LOGAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD STUDENT
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Mailing address
8301 INDEPENDENCE SCHOOL RD, LOUISVILLE, KY 40228-1953
(502) 604-0648
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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