Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DE' ANDRA DESTHEENIA DAVIS, M.D.
ActiveDE' ANDRA DESTHEENIA DAVIS, M.D. is a Pediatrics healthcare provider located in GREENVILLE, Kentucky. NPI 1225307184 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GREENVILLE, KY
Registration Details
- NPI Number
- 1225307184
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2011 (14.661568207442 yrs)
- Last Updated
- Dec 20, 2019
- Licenses
-
MD.205560 (LA)49716 (KY)
Practice Information
- Address
-
504 HOPKINSVILLE STGREENVILLE, KY, 423451104Browse KY providers · Browse ZIP 42345
- Phone
- 2703386488
- Fax
- 2703387868
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in GREENVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| SUSAN C HAWKINS | M.D. | 1326077835 |
| BILLIE JEAN GALYEN | MD | 1972699502 |
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.