Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth P Davis

Individual provider Psychologist · NPI 1205040771

Dr. Kenneth P Davis is a Psychologist in Chicago, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2007.

Licensed in
IL, WI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

821 W Van Buren St
Chicago, IL 60607-3517
Phone: (312) 491-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1541 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071-004444 (IL)

Record details

NPI number1205040771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address821 W Van Buren St, Chicago, IL 60607-3517

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