Individual
KELLY MERCER DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-9333
(434) 244-7526
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101243400
VA
207RH0003X
Hematology & Oncology Physician
D0064115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033290853
—
VA
Enumeration date
10/18/2006
Last updated
07/30/2021
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