MRS. KENDRAH JORDAN DAVIS


Address: 3226 South Lakeside Drive, Tucson, AZ 85730
Phone: 5204096566

MRS. KENDRAH JORDAN DAVIS (NPI# 1780934505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780934505
Entity Type Individual
Full Name MRS. KENDRAH JORDAN DAVIS
Credential BHPP
Practice Address 3226 South Lakeside Drive
Tucson
AZ 85730
Mailing Address 3226 S. Lakeside Dr.
Tucson
AZ 85730
Practice Telephone 5204096566
Mailing Telephone 5204096566
Enumeration Date 2012-09-19
Last Update Date 2012-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 2485644 AZ Other Service Providers

Office Location

Street Address 3226 SOUTH LAKESIDE DRIVE
City TUCSON
State AZ
Zip Code 85730

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871019927 Jacques Boubeka Behavior Technician 9047 E Mayberry Dr, Tucson, AZ 85730 2017-08-21
1801266556 Jennifer Budd Nurse Practitioner 2435 N. Castro Avenue, Tucson, AZ 85730 2015-10-06
1285037648 Eden Huang Physician Assistant 6950 E Golf Links, Tucson, AZ 85730 2014-09-30
1881002376 Chisom P Umogbai Optometrist 7046 E Golf Links Rd, Tucson, AZ 85730 2014-07-28
1720490154 Integrity Counseling Services, Plc Counselor 11092 E. Placita Cumbia, Tucson, AZ 85730 2014-05-20
1619399276 Karla J. Gracia Counselor 8050 E. Lakeside Pkwy, Tucson, AZ 85730 2014-01-15
1619287620 Mukesh N Shah Physician Assistant 6455 E Nelson Dr, Tucson, AZ 85730 2010-10-12
1568770154 Steven Fabian Wautlet Pharmacist 7771 E. Golf Links Road, Tucson, AZ 85730 2010-09-17
1033239942 Franciso Garcia Psychiatry & Neurology 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 2007-04-02
1730206913 Lynn F Stewart Chiropractor 8985 E Golf Links Rd, Tucson, AZ 85730 2007-03-23
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427672799 Deborah Marie Winn Contractor 2960 N Swan Rd Ste 214, Tucson, AZ 85712-6020 2020-06-03
1073095840 Rodney Johnson Contractor 6308 W Copper Leaf Dr, Tucson, AZ 85757-7539 2018-08-29
1861984841 Esther Simmons Contractor 15918 N Forecastle Ave, Tucson, AZ 85739-9689 2018-06-05
1760992333 Charity King Contractor 7502 E 33rd St, Tucson, AZ 85710-6006 2017-10-09
1598280562 Margo Moore Contractor 2817 E Coconino Vis, Tucson, AZ 85713-4005 2017-08-10
1013445469 Reina Fregoso Contractor 2183 E Calle Sierra Del Manantial, Tucson, AZ 85706-5090 2017-05-30
1942752530 Guadalupe Aguirre Contractor 7135 S Providence Dr, Tucson, AZ 85757-6946 2016-10-28
1043769409 Rebeca Hawkins Contractor 8639 N Kimball Way, Tucson, AZ 85743-5011 2016-09-27
1578019865 Sarah Ann Roop Contractor 3920 E 5th St, Tucson, AZ 85711-1917 2016-08-28
1588118566 Jonathan Oum Contractor 7162 E 19th St, Tucson, AZ 85710-4909 2016-08-08
Find all providers in TUCSON

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City TUCSON
Zip Code 85730

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Dataset Information

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.

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