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Courtney Davis

NPI 1376153734 · on the registry since 2020 · sole proprietor

Practice

Address
545 Island Ford Rd
Madisonville, KY 42431
Phone
(270) 821-0692
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
1835P0018X
Licence states on file
KS, KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-18

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 Kentucky