Provider Demographics
NPI:1457102063
Name:DAVIS, KAMIKA
Entity Type:Individual
Prefix:
First Name:KAMIKA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 W NORTH BEND RD APT 4
Mailing Address - Street 2:
Mailing Address - City:COLERAIN TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6831
Mailing Address - Country:US
Mailing Address - Phone:513-206-5024
Mailing Address - Fax:
Practice Address - Street 1:3418 READING RD APT 316
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3178
Practice Address - Country:US
Practice Address - Phone:513-281-3956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty