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Kelley Davis, D.O., P.A.

Specialist in Dallas, TX. Organization (NPI-2).

NPI number1477589059
StatusActive
Last updated in NPPESNov 30, 2007

Details

NPI
1477589059
Entity type
Organization (NPI-2)
Legal business name
Kelley Davis, D.O., P.A.
Organization subpart
No
Enumeration date
Jun 24, 2006
Last updated
Nov 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistL8319TXYes

Practice location

1251a E Red Bird Ln
Dallas, TX 75241-2008

Phone 214-307-0827 · Fax 214-307-0927

Mailing address

1251a E Red Bird Ln
Dallas, TX 75241-2008

Phone 214-307-0827 · Fax 214-307-0927

Authorized official

Kelley Michelle Davis
President
2143740827

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