NPI 1033054408

Khalidha Davis

Practitioner Student in an Organized Health Care Education/Training Program Grand Rapids, MI

Practice location

Address: 2013 Eastcastle Dr SE STE B, Grand Rapids, MI 49508-8873
Phone: (616) 888-1120

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1033054408
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2026
Record last updated: 22 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.