Most Relevant Information
Provider Data
| NPI Number: | 1003356080 |
| Provider Name: | KEAVE R. DAVIS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 328047-1 |
Most Important Dates
| Enumeration Date: | 02/24/2017 |
| Last Updated: | 02/24/2017 |
Provider Practice Location
23 N COLUMBUS AVE
APT 12D
MOUNT VERNON
NY
105531043
Practice Location Phone/Fax
| Phone: | 9148033619 |
| Fax: |
Provider Mailing Location
23 NORTH COLUMBUS AVE
APT 12D
MOUNT VERNON
NY
10550
Provider Mailing Phone/Fax
| Phone: | 9148033619 |
| Fax: |