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Kelly Ann Davis

Nurse Anesthetist, Certified Registered in Livonia, MI. Individual provider (NPI-1).

NPI number1891243135
StatusActive
Last updated in NPPESSep 15, 2016

Details

NPI
1891243135
Entity type
Individual (NPI-1)
Name
Kelly Ann Davis
Sex
Female
Sole proprietor
No
Enumeration date
Sep 15, 2016
Last updated
Sep 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704273310MIYes

Practice location

19446 Parker St
Livonia, MI 48152-1579

Phone 248-760-2090

Mailing address

19446 Parker St
Livonia, MI 48152-1579

Phone 248-760-2090

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