L BRENT DAVIS (NPI# 1366509416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366509416 |
| Entity Type | Individual |
| Full Name | L BRENT DAVIS |
| Credential | PA-C |
| Practice Address |
801 N. Main Str. Faith Family Practice West Liberty KY 41472-1021 |
| Mailing Address |
801 Main St West Liberty KY 41472-1021 |
| Practice Telephone | 6067431422 |
| Practice Fax Number | 6067431455 |
| Mailing Telephone | 6067431422 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA120 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 N. MAIN STR. FAITH FAMILY PRACTICE |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154547347 | Faith Family Practice Pllc | Clinic/Center | 801 N. Main Str., West Liberty, KY 41472-1021 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| Find all providers in zip 41472 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
Please comment or provide details below to improve the information on L BRENT DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.