Most Relevant Information
Provider Data
| NPI Number: | 1003573544 |
| Provider Name: | KAITLIN DAVIS CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN.CNP.0027404 |
Most Important Dates
| Enumeration Date: | 11/18/2021 |
| Last Updated: | 11/18/2021 |
Provider Practice Location
5700 COOPER FOSTER PARK RD W
LORAIN
OH
440534152
Practice Location Phone/Fax
| Phone: | 4402045700 |
| Fax: |
Provider Mailing Location
10315 THORPE RD
BERLIN HEIGHTS
OH
448149565
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |