Davis, Kandace

Davis, Kandace is an sole proprietor health care provider with primary practice located at 1307 Lake Ave , Gothenburg NE 69138-1744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Kandace can be contacted via phone (308) 325-9140.

Contact Information

Primary practice address
1307 Lake Ave Gothenburg NE 69138-1744
Phone: (308) 325-9140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1375 Nebraska

Profile Details

NPI number 1205988979
LBN Legal business name Davis, Kandace
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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