| Doctor Name: | MR. KEVIN BRIAN DAVIDSON |
| NPI Number: | 1053346742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.P.A. |
| License Number: | 2488 |
| Business Practice Address: | 1309 S Cannon Blvd Kannapolis, NC - 280836232 |
| Business Phone Number: | 7049333212 |
| Business Fax Number: | 7049333221 |
| Mailing Address: | 117 Imperial Heights Rd, STATESVILLE |
| State: | NC |
| Postal Code: | 286258969 |
| Phone Number: | 7048763242 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 11/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2488 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |