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R KEITH DAVIS MD PLLC PA NPI 1407374101


NPI Information

NPI: 1407374101
Provider Name: R KEITH DAVIS MD PLLC PA

Other Name: R KEITH DAVIS MD PLLC PA SCHOOL BASED CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
727 BUCKAROO LN
SMACKOVER, AR
ZIP 71762
Phone: (870) 725-3471
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R KEITH DAVIS MD PLLC PA is a family medicine in Smackover, 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. R KEITH DAVIS MD PLLC PA NPI is 1407374101. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is R Keith Davis Md Pllc Pa School Based Clinic.

The provider's business location address is:

727 BUCKAROO LN
SMACKOVER, AR
ZIP 71762-730
Phone: (870) 725-3471
Fax: (870) 725-3041

The provider's authorized official is Richard Keith Davis .
The authorized official title is Owner and has the following contact phone number (870) 725-3471.

The enumeration date for this NPI number is 9/1/2017 and was last updated on 9/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 4/28/2024

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