KELLEY ANNE DAVIDSON APRN NPI 1164283578

NPI Information

  • NPI: 1164283578
  • Provider Name: KELLEY ANNE DAVIDSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 W MAIN ST
    HENRYETTA, OK
    ZIP 74437
  • Phone: (539) 667-0001

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NPI Details

Kelley Anne Davidson, APRN is a family nurse practitioner in Henryetta, OK with 3 years of experience. Kelley Anne Davidson, APRN NPI is 1164283578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 W MAIN ST
HENRYETTA, OK
ZIP 74437-241
Phone: (539) 667-0001

The NPI 1164283578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2024 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1234OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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