MR. KEVIN BRIAN DAVIDSON (NPI# 1053346742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053346742 |
| Entity Type | Individual |
| Full Name | MR. KEVIN BRIAN DAVIDSON |
| Credential | M.A., L.P.A. |
| Practice Address |
1309 S Cannon Blvd Kannapolis NC 28083-6232 |
| Mailing Address |
117 Imperial Heights Rd Statesville NC 28625-8969 |
| Practice Telephone | 7049333212 |
| Practice Fax Number | 7049333221 |
| Mailing Telephone | 7048763242 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2488 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6107125 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571392 | Kevin Ross Davidson | Internal Medicine | 12700 East 19th Avenue, Rm 9023 Mail Stop C272, Pulmonary Sciences and Critical Care Medicine, Aurora, CO 80045 | 2009-07-24 |
| 1922024066 | Kevin Ray Davidson | Chiropractor | 1905 Vine St, Hays, KS 67601-3258 | 2006-07-14 |
| 1073501631 | Kevin Patrick Davidson | Counselor | 203 N Jackson Ave, Wylie, TX 75098-4444 | 2005-10-07 |
| Street Address |
1309 S CANNON BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922034008 | Patricia D. Wilson | Social Worker | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2006-06-23 |
| 1760919914 | Tamara Leonard Beck | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-05-18 |
| 1588105217 | Stephanie Kipp Gooding | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-03-14 |
| 1316493539 | Brandi Frazier | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-08-28 |
| 1619326436 | Angela Wilburn | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-06-13 |
| 1932556792 | June Minier | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-05-20 |
| 1851791628 | Rolanda Turner | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-08-29 |
| 1811308935 | Felicia Stanback | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-05-12 |
| 1013344258 | Larry Keever | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-02 |
| 1770910002 | Sandra Carter | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952487522 | Youth/adult Care Management | Psychologist | 1605 Old Earnhardt Rd, Kannapolis, NC 28083-8025 | 2006-10-27 |
| 1073884516 | John Allmond | Psychologist | 4949 Professional Park Dr, Ste 101, Kannapolis, NC 28081-8637 | 2012-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
| 1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
Please comment or provide details below to improve the information on MR. KEVIN BRIAN DAVIDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.