Individual provider · Type 1 NPI

Kenneth Wayne Davis, SAC

Addiction (Substance Use Disorder) Counselor · Bentonville, AR

NPI number 1124384359 Active

About NPI 1124384359

Kenneth Wayne Davis, SAC's National Provider Identifier is 1124384359, issued on Apr 2, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bentonville, AR. The record was last updated on Nov 6, 2013.