person
Mr. Kenneth John Davis, PA-C
Medical Physician Assistant in Denver, Colorado
NPI 1780714188

Kenneth John Davis is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Kenneth John Davis practices in Denver, CO and has the professional credentials of PA-C. The NPI Number for Kenneth John Davis is 1780714188 and holds a License No. 1755 (Colorado).

The current practice location address for Kenneth John Davis is 101 S Fairfax St, Denver, CO and can be reached out via phone at 303-993-2629 and via fax at 303-993-2934.

Location: 101 S Fairfax St, Denver, CO, 80246-3135
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Provider Profile Details
NPI Number
1780714188
Provider Name
Kenneth John Davis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
101 S Fairfax St, Denver, CO, 80246-3135
Phone Number
303-993-2629
Fax Number
303-993-2934
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49583735 05 CO
institution
Provider Business Practice Location Address Details
Address
101 S Fairfax St
City
State
Zip
80246-3135
Phone Number
303-993-2629
Fax Number
303-993-2934
person
Provider Business Mailing Address Details
Address
101 S Fairfax St
City
State
Zip
80246-3135
Phone Number
303-993-2629
Fax Number
303-993-2934
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1755 (Colorado)
Definition
Definition to come...
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