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NPI Code Detail

MEDICARE: KRISTEN KERKHOFF DAVIS CNP

MEDICARE:   KRISTEN  KERKHOFF DAVIS  CNP
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
1363LF0000XFamily Nurse Practitioner026336OH

General Provider Information

NPI Number : 1841821063
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN KERKHOFF DAVIS CNP
Provider Business Mailing Address
First Line : PO BOX 32160
Second Line : DEPT 107
City : LOUISVILLE
State : KY
Zip : 40232-2160
Country : US
Telephone Number : 513-699-9090
Fax Number : 937-369-9112
Provider Business Practice Location Address
First Line : 4001 ROSSLYN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1111
Country : US
Telephone Number : 513-699-9090
Fax Number : 937-369-9112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 01/20/2026

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