person
Kellie Mary Davis
General Practice Registered Nurse in Lake Worth, Florida
NPI 1528654100

Kellie Mary Davis is a General Practice Registered Nurse based in Lake Worth, FL and is specialized in General Practice. Kellie Mary Davis practices in Lake Worth, FL. The NPI Number for Kellie Mary Davis is 1528654100 and holds a License No. 3252282 (Florida).

The current practice location address for Kellie Mary Davis is 9254 Emily Cir, Lake Worth, FL and can be reached out via phone at 561-309-1631.

Location: 9254 Emily Cir, Lake Worth, FL, 33467-3600
person
Provider Profile Details
NPI Number
1528654100
Provider Name
Kellie Mary Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
9254 Emily Cir, Lake Worth, FL, 33467-3600
Phone Number
561-309-1631
Fax Number
Provider Enumeration Date
12/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3252282 01 FL REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
9254 Emily Cir
City
State
Zip
33467-3600
Phone Number
561-309-1631
Fax Number
person
Provider Business Mailing Address Details
Address
9254 Emily Cir
City
State
Zip
33467-3600
Phone Number
561-309-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
3252282 (Florida)
Definition
Definition to come...
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