Individual ProviderKurvis Antione DavisNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address367 Carrollton Ave, Shreveport, LA 71105-3205(318) 573-0604PECOS EnrollmentBased on the most recent information from CMS, provider Kurvis Antione Davis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013386507Provider TypeIndividualFull NameDavis, Kurvis AntioneGenderMaleSole ProprietorYesEnumeration Date9/15/2015Last Updated12/30/2016Contact InformationPractice LocationPractice Address367 Carrollton Ave, Shreveport, LA 71105-3205Phone(318) 573-0604FaxUnlisted FaxMailing LocationMailing Address367 Carrollton Ave, Shreveport, LA 71105-3205Phone(318) 573-0604FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP08517Louisiana