| Doctor Name: | KATHRYN LOUISE DAVIDSON |
| NPI Number: | 1164548483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCNP |
| License Number: | DAV1-0430-4965 |
| Business Practice Address: | 4700 Las Vegas Blvd N Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532300 |
| Business Fax Number: | 7026532109 |
| Mailing Address: | 4700 Las Vegas Blvd N, NELLIS AFB |
| State: | NV |
| Postal Code: | 891916600 |
| Phone Number: | 7026532300 |
| Fax Number: | 7026532109 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | DAV1-0430-4965 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |