Kelly Davis is a Clinical in Sidney, Ohio. Kelly Davis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Davis is 1568448645. The last update date is 2009-01-13.
Kelly Davis's current location address is 211 N Main Ave, Sidney, Ohio. You can contact this provider via phone number 9374977239 and fax number 9374977238. The mailing address for Kelly Davis is 211 N Main Ave, Sidney, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Davis |
|---|---|
| Address | 211 N Main Ave, Sidney, Ohio |
| Phone Number | 9374977239 |
| Fax Number | 9374977238 |
| Sole Proprietor | N |
| Credentials | LISW-S |
NPI Number Detail
| NPI Number | 1568448645 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2009-01-13 |
Provider Mailing Address Detail
| Address | 211 N Main Ave |
|---|---|
| City | Sidney |
| State | Ohio (OH) |
| Post Code | 453652705 |
| Phone Number | 9374977239 |
| Fax Number | 9374977238 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I 0700286 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6003069 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly Davis by the Centers for Medicare & Medicaid Services?
The Kelly Davis has been issued the NPI (National Provider Identifier) 1568448645, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly Davis?
The Kelly Davis is situated at 211 N Main Ave, in the city of Sidney, state of OH, with the zip code 453652705.
What is Kelly Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Davis is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Kelly Davis receive its 1568448645?
The Kelly Davis was issued its 1568448645 on 2005-12-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Kelly Davis most recently updated or refreshed?
The details pertaining to the Kelly Davis, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-01-13.