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Kya Coreisa Davis, APRN
Psychiatric/Mental Health Nurse Practitioner in Newberry, South Carolina
NPI 1558112110

Kya Coreisa Davis is a Psychiatric/Mental Health Nurse Practitioner based in Newberry, SC and is specialized in Psychiatric/Mental Health. Kya Coreisa Davis practices in Newberry, SC and has the professional credentials of APRN. The NPI Number for Kya Coreisa Davis is 1558112110 and holds a License No. 2024001848 (South Carolina).

The current practice location address for Kya Coreisa Davis is 92 J B Fulmer Ct, Newberry, SC and can be reached out via phone at 803-944-9230.

Location: 92 J B Fulmer Ct, Newberry, SC, 29108-7856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558112110
Provider Name
Kya Coreisa Davis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
92 J B Fulmer Ct, Newberry, SC, 29108-7856
Phone Number
803-944-9230
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
92 J B Fulmer Ct
City
Newberry
State
South Carolina
Zip
29108-7856
Phone Number
803-944-9230
Fax Number
person
Provider Business Mailing Address Details
Address
92 J B Fulmer Ct
City
Newberry
State
South Carolina
Zip
29108-7856
Phone Number
803-944-9230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2024001848 (South Carolina)
Definition
Definition to come...
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