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NPI Verification

National Provider Identifier: 1871554139

Kelly Van Davis, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (3)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Rheumatology

Code: 207RR0500X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

1202 W CHEROKEE ST STE H

WAGONER, OK 744674629

Phone: 918-614-5533

NPI Enumeration Date

March 28, 2006

NPI Number

1871554139

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry