Ked L Davis Md Pllc Pa

LBN: Ked Davis Md
Ked L Davis Md Pllc Pa is an health care organization with primary practice located at 1701 E North St , Magnolia AR 71753-3204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ked Davis Md can be contacted via phone (870) 234-3802, or through Campbell, Ashley via phone (870) 234-3802.

Contact Information

Primary practice address
1701 E North St Magnolia AR 71753-3204
Phone: (870) 234-3802
Fax: (870) 234-7386
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Ashley
Phone: (870) 234-3802

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AR-E-5314 Arkansas

Profile Details

NPI number 1316101058
LBN Legal business name Ked Davis Md
DBA Doing business as Ked L Davis Md Pllc Pa
Authorized official Campbell, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated May 21st, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316101058 NPPES
Arkansas MEDICAID 167832001

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