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Individual

KEEVIN R DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3328 PRINCETON ROAD, HAMILTON, OH 45011
(513) 887-9400
(513) 887-7512
Mailing address
3460 DAVIS LN, CINCINNATI, OH 45237-2402
(513) 482-9291
(513) 351-1547

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35046494
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000590417
ANTHEM
OH
05
0811536
OH
01
H073500
MEDICARE PTAN
OH
Enumeration date
07/18/2006
Last updated
02/27/2012
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