Davis, Kenneth Earl

Davis, Kenneth Earl is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd, Bldg 9250 Martin Army Community Hospital, Fort Benning GA 31905-6535. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Kenneth Earl can be contacted via phone (762) 408-0405.

Contact Information

Primary practice address
6600 Van Aalst Blvd, Bldg 9250 Martin Army Community Hospital Fort Benning GA 31905-6535
Phone: (762) 408-0405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024174163 Virginia

Profile Details

NPI number 1245777291
LBN Legal business name Davis, Kenneth Earl
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2017
Last updated Jan 30th, 2017 - about 9 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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