Provider Demographics
NPI:1114297538
Name:DAVIES, KATHLEEN F (CPM, RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:F
Last Name:DAVIES
Suffix:
Gender:F
Credentials:CPM, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 QUILL AMMONS HOLLER
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-5879
Mailing Address - Country:US
Mailing Address - Phone:828-689-4019
Mailing Address - Fax:
Practice Address - Street 1:101 QUILL AMMONS HOLLER
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-5879
Practice Address - Country:US
Practice Address - Phone:828-689-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCPM0000000026176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife