Individual
DR. KENT WALLACE DAVIDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S MCKINLEY ST, SUITE 405, LITTLE ROCK, AR 72205-5202
(501) 663-3647
(501) 663-1706
Mailing address
600 S MCKINLEY ST, SUITE 405, LITTLE ROCK, AR 72205-5202
(501) 663-3647
(501) 663-1706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C5045
AR
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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