Kendall R Davis

NPI #1902568157 in Thiensville, Wisconsin

Provider Information

NPI Number: 1902568157
Entity Type: Individual
Name: Kendall R Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 200 LUISITA RD
City: Thiensville
State: Wisconsin
ZIP Code: 53092-1730
Phone: (262) 227-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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