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NPI Code Detail

MEDICARE: KAELEN MARIE DAVIS

MEDICARE: KAELEN MARIE 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
1163W00000XRegistered Nurse28282677AIN

General Provider Information

NPI Number : 1912851015
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAELEN MARIE DAVIS
Provider Business Mailing Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-379-4441
Fax Number :
Provider Business Practice Location Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-379-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ KAELEN MARIE DAVIS ” Practice Location

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