Kenneth Earl Davis Jr., FNP
Nurse Practitioner in Fort Belvoir, VA. Individual provider (NPI-1).
NPI number1245777291
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1245777291
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Earl Davis Jr.
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2017
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0001151127 | VA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 0001151127 | VA |
Practice location
9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone 571-231-3496 · Fax 571-231-3466
Mailing address
9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone 571-231-3496 · Fax 571-231-3466
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