Individual
KIRK R. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4126 N HOLLAND SYLVANIA ROAD, 100, TOLEDO, OH 43623
(419) 473-9500
(419) 473-9501
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 473-9500
(419) 473-9501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34005964
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
34-005964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200044047
RAILROAD MEDICARE
OH
05
—
2139340
—
OH
Enumeration date
11/21/2005
Last updated
05/31/2011
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