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Organization
KED DAVIS MD
Active
Organization
KED DAVIS MD
Active
Other names
KED L DAVIS MD PLLC PA
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CAMPBELL (OFFICE MANAGER)
(870) 234-3802
Entity
Organization
Contact information
Practice address
1701 E NORTH ST, MAGNOLIA, AR 71753-3204
(870) 234-3802
(870) 234-7386
Mailing address
1701 E NORTH ST, MAGNOLIA, AR 71753-3204
(870) 234-3802
(870) 234-7386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AR-E-5314
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167832001
—
AR
Enumeration date
07/11/2008
Last updated
05/21/2024
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