De' Andra Destheenia Davis
M.D. | Pediatrics | Female
De' Andra Destheenia Davis, M.D. is a Greenville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of De' Andra Destheenia Davis is
504 Hopkinsville St, Greenville, Kentucky - 42345-1104. She can be contacted on phone at
270-338-6488 and fax number 270-338-7868.
De' Andra Destheenia Davis is a sole proprietor of her business.
NPI number (Unique professional ID) for De' Andra Destheenia Davis is
1225307184 which was assigned by NPPES on 22 Dec, 2011 and it was last updated on 20 Dec, 2019.
De' Andra Destheenia Davis license number is
49716 for Pediatrics (208000000X) in Kentucky.
De' Andra Destheenia Davis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
De' Andra Destheenia Davis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | De' Andra Destheenia Davis |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
De' Andra Destheenia Davis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 504 Hopkinsville St
Greenville, KY, 42345-1104
United States |
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| Phone Number : | 270-338-6488 |
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| Fax Number : | 270-338-7868 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225307184 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Dec, 2011 |
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| Last Updated On : | 20 Dec, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for De' Andra Destheenia Davis are as mentioned. Primary taxonomy code for De' Andra Destheenia Davis, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 49716 | KY |
| 208000000X | Pediatrics | No | MD.205560 | LA |
Legacy Identifiers:
Other legacy medical identifiers of De' Andra Destheenia Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100444110 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 480 Hopkinsville St
Greenville, KY, 42345-1124
United States |
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| Phone Number : | 270-338-5777 |
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| Fax Number : | 270-338-5765 |
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Business Location:
Patients can refer following map for directions to
De' Andra Destheenia Davis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.