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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS JACALYN VANNESSA DAVIS, KCSA

Active Sole Proprietor

MISS JACALYN VANNESSA DAVIS, KCSA is a General Acute Care Hospital healthcare provider located in LOUISVILLE, Kentucky. NPI 1073763801 is currently active in the NPPES registry. Verify at CMS.

General Acute Care Hospital · LOUISVILLE, KY

Registration Details

NPI Number
1073763801
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2008 (17.870528907195 yrs)
Last Updated
Sep 29, 2008
License
KSCA176 (KY)
Sole Proprietor
Yes

Practice Information

Address
709 E MADISON ST
LOUISVILLE, KY, 402021629
Browse KY providers · Browse ZIP 40202
Phone
5023770628
Primary Specialty
General Acute Care Hospital
282N00000X

Other General Acute Care Hospital Providers in LOUISVILLE, KY

Name Credential NPI
MR. TIMOTHY IRVIN NEIDIFFER MS OTR/L 1598879256
DR. LEWIS ROWE MD 1114036316
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.