Kenisha Davis, APRN

NPI 1033604954 · on the registry since 2018 · sole proprietor

Practice

Address: 16266 Prince Dr
South Holland, IL 60473
Phone: (708) 222-7333
Fax: (708) 221-0501
Organisation at this address: Larry E. Zollinger, D.D.S. Pc
Queens Weight & Wellness Center
Kdd Vital Health And Consulting, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
363LF0000X
Psychiatric/Mental Health Nurse Practitioner
363LF0000X
Psychiatric/Mental Health Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Licence states on file: IL, IN, AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois