| NPI | 1124384359 |
|---|---|
| Professional Name | KENNETH W DAVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15651131) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2013-11-06 |