Provider Demographics
NPI:1598554065
Name:EDWARDS-DAVIS, KADEEJA
Entity type:Individual
Prefix:
First Name:KADEEJA
Middle Name:
Last Name:EDWARDS-DAVIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BATTLES FARM DR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2215
Mailing Address - Country:US
Mailing Address - Phone:617-849-3855
Mailing Address - Fax:
Practice Address - Street 1:23 BATTLES FARM DR
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2215
Practice Address - Country:US
Practice Address - Phone:617-849-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula