Individual
KEVIN S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 726-7486
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 726-7486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
045765
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
45765
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000936108C
—
GA
Enumeration date
11/03/2005
Last updated
10/08/2025
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