Kelsie Josephine Davis, PHARMD
Individual provider Active NPI Pharmacist · Waseca, MN
NPI 1134555972 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1134555972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 120494 (MN)
- Practice address
- 501 State St N
Waseca, MN 56093-2811 - Phone
- (507) 781-8226
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120494 | MN | MD | Pharmacist |
Interoperability endpoints
- kdavis91536@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120494 | MN | Yes |
Addresses
Primary practice location
501 State St N
Waseca, MN 56093-2811
Mailing address
501 State St N
Waseca, MN 56093-2811
Phone (507) 781-8226
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdavis91536@ehrdirect.mayoclinicmsg.org |
Other providers in Waseca, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.