Organization
KWD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DAVIS M.D. (SOLE OWNER)
(505) 203-4786
Entity
Organization
Contact information
Practice address
400 S 15TH ST, WORLAND, WY 82401-3531
(702) 453-3799
(702) 453-5741
Mailing address
7320 AVENIDA LA COSTA NE, ALBUQUERQUE, NM 87109-3955
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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