Davis, Kelly J
Davis, Kelly J is an individual health care provider with primary practice located at 3802 Poplar Hill Rd Suite C, Chesapeake VA 23321-5531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Davis, Kelly J can be contacted via phone (757) 483-4600.Contact Information
Primary practice address
3802 Poplar Hill Rd Suite C
Chesapeake VA 23321-5531
Phone: (757) 483-4600
Fax: (757) 483-9350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 0024167309 | Virginia |
Profile Details
| NPI number | 1609994151 |
|---|---|
| LBN Legal business name | Davis, Kelly J |
| Credentials | RNC,MSN.NP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jun 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609994151 | NPPES |
| Virginia | Other | 0024167309 | NP LICENSE |
| Virginia | MEDICAID | 1609994151 | NP LICENSE |
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