Most Relevant Information
Provider Data
| NPI Number: | 1003540410 |
| Provider Name: | MICHAEL KEVIN DAVIS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | C5-0011756 |
Most Important Dates
| Enumeration Date: | 07/12/2022 |
| Last Updated: | 11/14/2023 |
Provider Practice Location
316 LANTANA DR
HOCKESSIN
DE
197078807
Practice Location Phone/Fax
| Phone: | 3027669700 |
| Fax: |
Provider Mailing Location
13 LAXFORD DR
NEWARK
DE
197024265
Provider Mailing Phone/Fax
| Phone: | 3023581053 |
| Fax: |