Search › Illinois › 363LA2200X
Kisha Davis
NPI 1770431058 · on the registry since 2026 · sole proprietor
Practice
- Address
- 864 Harbor Woods Dr
Fairview Heights, IL 62208 - Phone
- (314) 448-5033
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois