Kizzy L Davis
Individual provider Active NPI Contractor · Columbia, SC
NPI 1558083352 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1558083352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 3615 Percival Rd Lot 75
Columbia, SC 29223-4275 - Phone
- (803) 667-5888
- NPI assigned
- Sep 19, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
3615 Percival Rd Lot 75
Columbia, SC 29223-4275
Mailing address
4464 Devine St Ste 1241M
Columbia, SC 29205-3605
Phone (803) 667-5888
Other providers in Columbia, SC
- Karen Davis
- Katherine Brannan Davis
- Katherine Caroline Davis
- Kathryn Davis
- Kealani Davis
- Lahoma Arronette Davis
- Lateek Davis
- Leigh Norris Davis
- Maranda Brown Davis
- Mark A Davis
All providers in Columbia, SC · Contractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. 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.