# KEITH L DAVIS MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326379975
- **Authorized official:** MS. LINDA MCGIRR (OWNER OF JEFFERSON BILLING, INC)
- **Authorized official phone:** (800) 673-5312

## Contact information

- **Practice address:** 2420 LAKE AVE, ASHTABULA, OH 44004-2420
- **Practice address phone:** (440) 994-7582
- **Practice address fax:** (440) 994-7539
- **Mailing address:** PO BOX 3111, WARREN, OH 44485-3111
- **Mailing address phone:** (800) 673-5312
- **Mailing address fax:** (888) 817-7141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 052285 | OH | Yes |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 03/04/2011