NPI | 1316101058 |
---|---|
Doing Business As | KED L DAVIS MD PLLC PA |
Entity Type | Organization |
Authorized Contact | ASHLEY CAMPBELL Office Manager 870-234-3802 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR AR-E-5314) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2024-05-21 |