Individual
DR. JASEN CONNER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
59122
KY
Other
Enumeration date
05/20/2019
Last updated
06/27/2024
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