Individual
KELLY MASON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2762
(850) 763-3911
Mailing address
1601 VERMONT AVE, LYNN HAVEN, FL 32444-3566
(850) 814-5456
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
22229
FL
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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