Davis, Kellie Mary

Davis, Kellie Mary is an individual health care provider with primary practice located at 9254 Emily Cir , Lake Worth FL 33467-3600. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Davis, Kellie Mary can be contacted via phone (561) 309-1631.

Contact Information

Primary practice address
9254 Emily Cir Lake Worth FL 33467-3600
Phone: (561) 309-1631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 3252282 Florida

Profile Details

NPI number 1528654100
LBN Legal business name Davis, Kellie Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2020
Last updated Dec 17th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528654100 NPPES
Florida Other 3252282 REGISTERED NURSE

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