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NPI Code Detail

MEDICARE: KELLSIE KAY-ANN DAVIS DC

MEDICARE: KELLSIE KAY-ANN DAVIS DC
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
1111N00000XChiropractorDC011320PA

General Provider Information

NPI Number : 1366959694
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLSIE KAY-ANN DAVIS DC
Provider Business Mailing Address
First Line : 990 BEN FRANKLIN HWY E
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-9547
Country : US
Telephone Number : 610-385-1444
Fax Number : 610-385-1441
Provider Business Practice Location Address
First Line : 990 BEN FRANKLIN HWY E
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-9547
Country : US
Telephone Number : 610-385-1444
Fax Number : 610-385-1441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 01/09/2018

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Directions to “ KELLSIE KAY-ANN DAVIS DC” Practice Location

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