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Dr. Kelly Anne Davis, BSDC
Chiropractor in Bentonville, Arkansas
NPI 1376755413

Kelly Anne Davis is a Chiropractor based in Bentonville, AR. Kelly Anne Davis practices in Bentonville, AR and has the professional credentials of BSDC. The NPI Number for Kelly Anne Davis is 1376755413 and holds a License No. 2004002392 (Arkansas).

The current practice location address for Kelly Anne Davis is 808 Tiger Blvd, Bentonville, AR and can be reached out via phone at 479-271-4438 and via fax at 479-271-4438.

Location: 808 Tiger Blvd, Bentonville, AR, 72712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376755413
Provider Name
Kelly Anne Davis
Credential
BSDC
Provider Entity Type
Individual
Gender
Female
Address
808 Tiger Blvd, Bentonville, AR, 72712
Phone Number
479-271-4438
Fax Number
479-271-4438
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5Y064 01 AR BCBS
156021718 05 AR
P00166048 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
808 Tiger Blvd
City
Bentonville
State
Arkansas
Zip
72712
Phone Number
479-271-4438
Fax Number
479-271-4438
person
Provider Business Mailing Address Details
Address
808 Tiger Blvd
City
Bentonville
State
Arkansas
Zip
72712
Phone Number
479-271-4438
Fax Number
479-271-4438
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2004002392 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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