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NPI Code Detail

MEDICARE: MS. KATHERINE MICHAEL DAVIS

MEDICARE: MS. KATHERINE MICHAEL DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1669689816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE MICHAEL DAVIS
Provider Business Mailing Address
First Line : 1 CHILDRENS WAY
Second Line : SLOT 900
City : LITTLE ROCK
State : AR
Zip : 72202-3500
Country : US
Telephone Number : 501-374-3620
Fax Number :
Provider Business Practice Location Address
First Line : 301 W CALHOUN
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-3508
Country : US
Telephone Number : 870-234-1597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/25/2013

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Directions to “ MS. KATHERINE MICHAEL DAVIS ” Practice Location

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