Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
L BRENT DAVIS, PA-C
ActiveL BRENT DAVIS, PA-C is a Medical Physician Assistant healthcare provider located in WEST LIBERTY, Kentucky. NPI 1366509416 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WEST LIBERTY, KY
Registration Details
- NPI Number
- 1366509416
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 1, 2007 (19.65602438265 yrs)
- Last Updated
- Sep 8, 2010
- License
-
PA120 (KY)
Practice Information
- Address
-
801 N. MAIN STR.FAITH FAMILY PRACTICEWEST LIBERTY, KY, 414721021Browse KY providers · Browse ZIP 41472
- Phone
- 6067431422
- Fax
- 6067431455
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.