Individual provider · Type 1 NPI

Kejuan Deshawn Davis

Driver · Redford, MI

NPI number 1003457680 Active

Practice location

7401 Parkland
Redford, MI 48239-1015

Mailing address

17583 Hartwell St
Detroit, MI 48235-2639

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1003457680

Kejuan Deshawn Davis's National Provider Identifier is 1003457680, issued on Oct 4, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Redford, MI. The record was last updated on Oct 4, 2019.