Davis, Keona Chantel

Davis, Keona Chantel is an individual health care provider with primary practice located at 31 Sibley St Ste A31E , Hammond IN 46320-1725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Keona Chantel can be contacted via phone (219) 802-8800.

Contact Information

Primary practice address
31 Sibley St Ste A31E Hammond IN 46320-1725
Phone: (219) 802-8800
Fax: (219) 802-8801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010690A Indiana

Profile Details

NPI number 1881290005
LBN Legal business name Davis, Keona Chantel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated Apr 21st, 2021 - about 5 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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