Kelly Anne Davis in Bentonville - Chiropractor
Kelly Anne Davis - NPI 1376755413
Kelly Anne Davis is a Chiropractor in Bentonville, Arkansas. Kelly Anne Davis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kelly Anne Davis is 1376755413. The last update date is 2012-03-02.
Kelly Anne Davis's current location address is 808 Tiger Blvd, Bentonville, Arkansas. You can contact this provider via phone number 4792714438 and fax number 4792714438. The mailing address for Kelly Anne Davis is 808 Tiger Blvd, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Anne Davis |
|---|---|
| Address | 808 Tiger Blvd, Bentonville, Arkansas |
| Phone Number | 4792714438 |
| Fax Number | 4792714438 |
| Sole Proprietor | N |
| Credentials | BS DC |
NPI Number Detail
| NPI Number | 1376755413 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 808 Tiger Blvd |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 72712 |
| Phone Number | 4792714438 |
| Fax Number | 4792714438 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2004002392 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5Y064 | AR | BCBS | |
| 156021718 | AR | -- | |
| P00166048 | RR MEDICARE |
Post Comment/ Review Below
What is the Kelly Anne Davis's 1376755413?
The Kelly Anne Davis's NPI (National Provider Identifier) Number is 1376755413. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kelly Anne Davis is geographically located?
The Kelly Anne Davis is physically situated at the following location: 808 Tiger Blvd, Bentonville, AR, 72712.
What is Kelly Anne Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly Anne Davis is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Kelly Anne Davis receive its 1376755413 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Anne Davis was assigned its 1376755413 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information pertaining to Kelly Anne Davis most recently updated or revised?
The details related to Kelly Anne Davis, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-02.