KED DAVIS MD NPI 1316101058

NPI Information

  • NPI: 1316101058
  • Provider Name: KED DAVIS MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KED L DAVIS MD PLLC PA
  • Address: 1701 E NORTH ST
    MAGNOLIA, AR
    ZIP 71753
  • Phone: (870) 234-3802

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NPI Details

KED DAVIS MD is a family medicine in Magnolia, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KED DAVIS MD NPI is 1316101058. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ked L Davis Md Pllc Pa.

The provider's business location address is:

1701 E NORTH ST
MAGNOLIA, AR
ZIP 71753-204
Phone: (870) 234-3802
Fax: (870) 234-7386

The provider's authorized official is Ashley Campbell .
The authorized official title is Office Manager and has the following contact phone number (870) 234-3802.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 5/21/2024.

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
1207Q00000XFamily MedicineAR-E-5314ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1167832001MEDICAIDARKANSAS

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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