Davidson, Kelly Shea

Davidson, Kelly Shea is an sole proprietor health care provider with primary practice located at 307 Boatner Rd Ste 112 , Eglin Afb FL 32542-1302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Davidson, Kelly Shea can be contacted via phone (850) 883-9394.

Contact Information

Primary practice address
307 Boatner Rd Ste 112 Eglin Afb FL 32542-1302
Phone: (850) 883-9394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME155854 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1437508512
LBN Legal business name Davidson, Kelly Shea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2016
Last updated Apr 5th, 2022 - about 2 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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