Davis, Kisha R

Davis, Kisha R is an sole proprietor health care provider with primary practice located at 864 Harbor Woods Dr , Fairview Heights IL 62208-2189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Kisha R can be contacted via phone (314) 448-5033.

Contact Information

Primary practice address
864 Harbor Woods Dr Fairview Heights IL 62208-2189
Phone: (314) 448-5033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2026014984 Missouri

Profile Details

NPI number 1770431058
LBN Legal business name Davis, Kisha R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2026
Last updated Apr 6th, 2026 - about 6 months 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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