Individual provider · Type 1 NPI

Christopher Logan Davis, MD STUDENT

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1972205771 Active

Practice location

530 S Jackson St
Louisville, KY 40202-1675

Mailing address

8301 Independence School Rd
Louisville, KY 40228-1953

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972205771

Christopher Logan Davis, MD STUDENT's National Provider Identifier is 1972205771, issued on Mar 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Mar 17, 2023.