Provider Demographics
NPI:1427498187
Name:DAVIS, KAYLA V (DC)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:V
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 PACHA PKWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-4821
Mailing Address - Country:US
Mailing Address - Phone:319-665-2345
Mailing Address - Fax:
Practice Address - Street 1:710 PACHA PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4821
Practice Address - Country:US
Practice Address - Phone:319-665-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor