Davis, Kelly Van

Davis, Kelly Van is an individual health care provider with primary practice located at 1202 W Cherokee St Ste H , Wagoner OK 74467-4629. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Davis, Kelly Van can be contacted via phone (918) 614-5533.

Contact Information

Primary practice address
1202 W Cherokee St Ste H Wagoner OK 74467-4629
Phone: (918) 614-5533
Fax: (918) 485-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23418 Oklahoma
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 23418 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23418 Oklahoma

Profile Details

NPI number 1871554139
LBN Legal business name Davis, Kelly Van
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 14th, 2022 - about 3 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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