Davidson, Kelly Mercer

Davidson, Kelly Mercer is an individual health care provider with primary practice located at 1240 Lee St , Charlottesville VA 22908-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Davidson, Kelly Mercer can be contacted via phone (434) 924-9333.

Contact Information

Primary practice address
1240 Lee St Charlottesville VA 22908-0001
Phone: (434) 924-9333
Fax: (434) 244-7526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0064115 Maryland
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101243400 Virginia

Profile Details

NPI number 1033290853
LBN Legal business name Davidson, Kelly Mercer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033290853 NPPES
Virginia MEDICAID 1033290853

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