Provider Demographics
NPI:1114703949
Name:DAVIS, NAKERIA (DC)
Entity Type:Individual
Prefix:
First Name:NAKERIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LETTON DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2251
Mailing Address - Country:US
Mailing Address - Phone:859-592-4305
Mailing Address - Fax:859-592-4306
Practice Address - Street 1:205 LETTON DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2251
Practice Address - Country:US
Practice Address - Phone:859-592-4305
Practice Address - Fax:859-592-4306
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY287958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor