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
Fax: (757) 483-9350
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609994151 NPPES
Virginia Other 0024167309 NP LICENSE
Virginia MEDICAID 1609994151 NP LICENSE

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