Doctor Name: | KATHY DAI DAVIS |
NPI Number: | 1104975622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.R.N.P. |
License Number: | R144682 |
Business Practice Address: | 711 Maiden Choice Ln Catonsville, MD - 212283632 |
Business Phone Number: | 4102475602 |
Business Fax Number: | 4102421756 |
Mailing Address: | 813 Maiden Choice Ln, BALTIMORE |
State: | MD |
Postal Code: | 212283679 |
Phone Number: | 4104022258 |
Fax Number: | 4102047279 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R144682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |