Individual provider · Type 1 NPI

Kyler Davidson

Licensed Practical Nurse · Kennett, MO

NPI number 1245062587 Active

Practice location

1226 Independence Ave
Kennett, MO 63857-1316

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2017025297 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1245062587

Kyler Davidson's National Provider Identifier is 1245062587, issued on Aug 15, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kennett, MO. The record was last updated on Aug 15, 2024.