Individual
MRS. KELLI RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
703 N FM 1187, ALEDO, TX 76008-4338
(325) 518-8492
Mailing address
5650 SLEDGE LOOP, FORT WORTH, TX 76126-5357
(325) 518-8492
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139609
TX
Other
Enumeration date
01/25/2019
Last updated
03/13/2026
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