Kendall Davis, BA
Individual provider Active NPI Case Manager/Care Coordinator · Mt Washington, KY
NPI 1487057154 · NPPES record last updated Oct 8, 2014
Key facts
- NPI
- 1487057154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 122 Aulbern Dr E
Mt Washington, KY 40047-6300 - Phone
- (502) 724-4262
- Fax
- (502) 596-1421
- NPI assigned
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
122 Aulbern Dr E
Mt Washington, KY 40047-6300
Mailing address
122 Aulbern Dr E
Mt Washington, KY 40047-6300
Phone (502) 724-4262
Other providers in Mt Washington, KY
- Tessa Conlin
- Lacey Anne Conway
- Jamie Cox
- Valerie Lynn Crume
- Hayley E Davis
- Dr Thomas D Johnson PLLC
- Tara Martin Drexler
- Carrie Duncan
- Deborah Ann Edds
- Olivia Edwards
All providers in Mt Washington, KY · Case Manager/Care Coordinator in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2014. 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.