Healthcare Provider Details

I. General information

NPI: 1851736771
Provider Name (Legal Business Name): MR. STEVEN CURTIS DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 05/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S LIMESTONE ST 304B WETHINGTON BUILDING
LEXINGTON KY
40536-0200
US

IV. Provider business mailing address

900 S LIMESTONE ST 304B WETHINGTON BUILDING
LEXINGTON KY
40536-0200
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-9918
  • Fax: 859-323-1197
Mailing address:
  • Phone: 859-323-9918
  • Fax: 859-323-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR3383
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number49505
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: