MRS. KENISHA LA'TRECE DAVIS NP NPI 1528236650

NPI Information

NPI: 1528236650
Provider Name: MRS. KENISHA LA'TRECE DAVIS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6632 STATE ROAD 48
MAINEVILLE, OH
ZIP 45039
Phone: (513) 886-2367
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MRS. Kenisha La'trece Davis, NP is a family nurse practitioner in Maineville, OH. MRS. Kenisha La'trece Davis, NP NPI is 1528236650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6632 STATE ROAD 48
MAINEVILLE, OH
ZIP 45039
Phone: (513) 886-2367
Fax: (513) 886-2367

The enumeration date for this NPI number is 2/12/2008 and was last updated on 1/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN286523	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	NP 17420	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN 286523-1	OTHER	OHIO	RN LICENSE
2	NP 17420	OTHER	OHIO	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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