Individual provider · Type 1 NPI
Kenyatt Renee Davis, NP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1083506471
Active
Practice location
1100 S Alvarado St
Los Angeles, CA 90006-4110
Fax (847) 235-6135
Mailing address
6348 N Milwaukee Ave # 390
Chicago, IL 60646-3728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95035164 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083506471
Kenyatt Renee Davis, NP's National Provider Identifier is 1083506471, issued on Jul 18, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 21, 2026.