Davis, Kent Charles

Davis, Kent Charles is an individual health care provider with primary practice located at 411 3Rd St N , Waite Park MN 56387-1177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davis, Kent Charles can be contacted via phone (320) 253-4120.

Contact Information

Primary practice address
411 3Rd St N Waite Park MN 56387-1177
Phone: (320) 253-4120
Fax: (320) 253-4179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 31759 Minnesota

Profile Details

NPI number 1568406387
LBN Legal business name Davis, Kent Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 9th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568406387 NPPES
Other HP25413 HEALTH PARTNERS
Other 8L641DA HEALTH PARTNERS
Other 110587C851 HEALTH PARTNERS
Other 1520376 HEALTH PARTNERS
MEDICAID 561597600 HEALTH PARTNERS
Other 92224583001 HEALTH PARTNERS

Popular Providers