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Kelley Davis, D.o., P.a.
Specialist in Dallas, Texas
NPI 1477589059

Kelley Davis, D.o., P.a. is a Specialist based in Dallas, TX. Kelley Davis, D.o., P.a. practices in Dallas, TX. The NPI Number for Kelley Davis, D.o., P.a. is 1477589059 and holds a License No. L8319 (Texas).

The current practice location address for Kelley Davis, D.o., P.a. is 1251A E Red Bird Ln, Dallas, TX and can be reached out via phone at 214-307-0827 and via fax at 214-307-0927.

Location: 1251A E Red Bird Ln, Dallas, TX, 75241-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477589059
Provider Name
Kelley Davis, D.o., P.a.
Credential
Provider Entity Type
Organization
Address
1251A E Red Bird Ln, Dallas, TX, 75241-2008
Phone Number
214-307-0827
Fax Number
214-307-0927
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11568320 01 TX CAQH
institution
Provider Business Practice Location Address Details
Address
1251A E Red Bird Ln
City
Dallas
State
Texas
Zip
75241-2008
Phone Number
214-307-0827
Fax Number
214-307-0927
person
Provider Business Mailing Address Details
Address
1251A E Red Bird Ln
City
Dallas
State
Texas
Zip
75241-2008
Phone Number
214-307-0827
Fax Number
214-307-0927
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L8319 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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