Davis, Nicole Elizabeth

Davis, Nicole Elizabeth is an individual health care provider with primary practice located at 1000 Breckenridge St Suite 300, Owensboro KY 42303-0839. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Davis, Nicole Elizabeth can be contacted via phone (270) 688-4480.

Contact Information

Primary practice address
1000 Breckenridge St Suite 300 Owensboro KY 42303-0839
Phone: (270) 688-4480
Fax: (270) 688-4489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 03827 Kentucky

Profile Details

NPI number 1265798979
LBN Legal business name Davis, Nicole Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Nov 27th, 2023 - about 3 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 1265798979 NPPES
Kentucky MEDICAID 7100361980

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