BENNICIA DAVIS

LOUISVILLE, KY
NPI1356722854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KY  PA1998)
Enumeration Date2015-06-11
Last Update Date2020-12-03
Business Address
BENNICIA DAVIS PA-C
200 E CHESTNUT ST SUITE 303
LOUISVILLE, KY 40202-1831
Phone number: 502-629-5552
Mailing Address
BENNICIA DAVIS PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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